Leap in! Plan Management Registration

Our House Our Haven Inc. is a brand new registered charity organisation based in Ipswich, Queensland. We are a nurse-led clinic providing care, psychotherapy and different treatment options for chronic and crisis mental health clients.

We recommend the services of Leap in!, a not-for-profit, specialist plan manager who shares our values around delivering premium NDIS services that assist people with a disability to achieve positive outcomes and live their best life.

How to register with Leap in!

Enter your details in the form below and upload a copy of your NDIS plan.
Read and agree to the Leap in! terms.
Click on the “Send” button.

Participant Details
Please Note: All details must match those listed on the participants NDIS plan.
Participant First Name*
Participant Last Name*
Participant Date of Birth
Date Format: DD slash MM slash YYYY
Street Address
Suburb
State
Postcode
NDIA Participant Number
NDIA Plan Start Date
Date Format: DD slash MM slash YYYY
NDIA Plan End Date
Date Format: DD slash MM slash YYYY
Improved Life Choices/CB Choice Control
(Amount listed on NDIS Plan or Portal) - this is your Plan Management budget.
Please attach a copy of your Plan
(or alternately, we will request this from you at a later stage)
Accepted file types: jpg, gif, png, pdf, doc, docx.
Nominee/Participant Contact Details
Nominee First Name (If this is your NDIS plan, simply write your name)*
Nominee Last Name (If this is your NDIS plan, simply write your name)*
Email Address
Contact Mobile*
Relationship to Participant
How did you hear about Leap in!?
Agreement*
- I agree the details I have provided are correct.
- I have read and agree to Leap in! Plan Management Terms.
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Name
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