These forms can be used for self referrals or to refer someone else.

Click the link below to access our online referral form and submit your referral electronically.

If you prefer to fill out the form offline, you can download our Referral Form PDFs below.

Please note: Privacy and confidentiality are of utmost importance to us. The referral information you provide will be used solely for the purpose of bookings. This information will not be retained for any other purpose and will only be accessed by authorised personnel in accordance with Royal Rehab’s privacy policy.

NDIS Referral

icare Referral

Sexuality Service Referral

Driving Assessment & Training Referral

Ready to get started on your Royal Rehab LifeWorks journey?

In the spirit of reconciliation, Royal Rehab acknowledges the Traditional Custodians of Country throughout Australia and their connections to land, sea, and community. We pay our respects to their Elders past, present and future and we extend our respects to all Aboriginal and Torres Strait Island peoples.

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ACNC Registered Charity

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