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  • Online referral form

Home > Making a referral > Online referral form

Online referral form

PIR provides assistance to people with severe and persistent mental illness with complex needs who require support from multiple agencies. PIR accepts referrals:

  1. for people with a diagnosed severe and persistent mental illness who wish to apply to the National Disability Insurance Scheme (NDIS);
  2. to support people to apply to the NDIS and provide Support Coordination;
  3. people with a NDIS plan/package requesting Support Coordination (The person or their legal guardian must indicate their consent)

NDIS age eligibility for Tasmania:

  • From 1st January 2018: People aged 4–34 years old are eligible for the NDIS 
  • From 1st July 2018: People aged 0 – 49 years old are eligible for the NDIS 
  • From January 2019: People aged 0 – 64 years old are eligible for the NDIS
Person's Detail
Eligibility

Do you:

Existing Supports and Services
(eg psychiatrist, GP, case manager, other)

Please tick relevant boxes

Reason for Referral – Please tick
Referring Person’s detail – (leave blank if you are referring yourself)