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Submit A Referral

Our administrative staff will contact you to continue the conversation after your referral is submitted! Before submitting, please make sure all sections are filled out.

WHAT TYPE OF FUNDING WILL BE USED FOR THIS SERVICE?*

NDIS

Aged Care

Private

SERVICES REQUIRED*

Exercise Physiology

Speech Pathology

Occupational Therapy

Physiotherapy

CLIENT NAME*

CLIENT DATE OF BIRTH*

CLIENT ADDRESS*

CASE MANAGER NAME AND EMAIL*

HOME CARE PROVIDER NAME AND EMAIL*

MEDICAL HISTORY / DIAGNOSIS

PARTICIPANT NAME*

GENDER*

PARTICIPANT EMAIL ADDRESS*

SUPPORT COORDINATOR DETAILS (NAME, NUMBER, EMAIL)*

NDIS NUMBER*

CURRENT NDIS PLAN END DATE*

NDIS PLAN GOALS*

DATE OF BIRTH*

PRIMARY CONTACT – NAME AND MOBILE NUMBER*

PLAN MANAGER EMAIL*

MEDICAL HISTORY/DIAGNOSIS*

RESIDENTIAL ADDRESS*

REASON FOR REFERRAL (PLEASE GO INTO DETAIL)*

UPLOAD FILES (RELEVANT REPORTS/NDIS PLAN)

UPLOAD YOUR NDIS PLAN AND/OR OTHER RELEVANT REPORTS BELOW

Frequently Asked Questions

Exercise Physiologists use evidence-based exercise to support the treatment and management of a wide range of health conditions. They work with you to better understand your condition and develop practical strategies to improve your health, increase independence, and work towards your personal goals.

Accelerated Allied Health’s Exercise Physiologists are fully accredited with Exercise and Sports Science Australia (ESSA). They have the expertise to design, deliver, and evaluate safe, effective, and individualised exercise programs that support:

Greater independence and achievement of meaningful life goals
Improved mental health, wellbeing, and self-confidence
Enhanced ability to self-manage your condition
Improved mobility, strength, and physical function
Reduced pain and discomfort

Yes they can, as exercise physiologists, occupational therapists, and speech therapists are registered allied health practitioners, private health rebates may be available based on your provider.

Absolutely, we offer both in-home and in-clinic services to ensure our supports are flexible, accessible, and tailored to your individual needs. Our clinicians can deliver therapy in the environment that best supports your goals, whether that is in the comfort of your home or within a clinical setting.
Where appropriate, we can also provide services in other relevant community-based environments such as local gyms, schools, childcare centres, workplaces, supported accommodation settings, or community facilities. This allows us to deliver therapy in real-life contexts, helping to build practical skills that translate directly into everyday activities.
By offering services across a range of settings, our Exercise Physiologists, Occupational Therapists, and Speech Pathologists are able to create highly individualised programs that promote functional outcomes, independence, and meaningful participation in daily life.

To ensure you can access the right support at the right time, there may be occasions where it is appropriate or preferable for your sessions to be delivered via telehealth or video conferencing. We use Microsoft Teams or Zoom as our primary video platforms, as they are reliable, secure, and easy to use. Your clinician will send a secure meeting link to your email for the scheduled session and conduct the appointment via video.

Submit A Referral

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Mobile services offered across Metropolitan Melbourne