Skip to main content
  • Online referral form

  • 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 capacity levels have been reached and will now ONLY be accepting Referrals: a) for people with a severe and persistent mental illness (diagnosed) who wish to apply to the National Disability Insurance Scheme (NDIS); b) to support people to apply to the NDIS and provide Support Coordination; c) 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 your priority needs
Referring Person’s detail – (leave blank if you are referring yourself)