Referrals – Limitless Horizons Health Services

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Melbourne, VIC
info@lhhs.com.au

0436 964 145

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Referrals

Refer Someone to Limitless Horizons Health Services

If you know someone whose life could be changed by the right support — let’s connect them with it. Our referral process is quick, simple, and always handled with care.

Referrer Details

Are you submitting this referral for yourself?

No, this referral is for someone else Yes, this referral form is for me

Do you have consent from the person that you are referring or their representative to share the information in this form?

Yes No

Referrers Name

Referrers Email

Referrers Phone

What services are you interested in?

Assist Access/Maintain Employ Assist-Life Stage, Transition Assist-Personal Activities Assist-Travel/Transport Assistive Prod-Household Task Daily Tasks/Shared Living Development-Life Skills Group/Centre Activities Household Tasks Innov Community Participation Participate Community

Participant Details

Client Name

Client Address

Mobile

Date of Birth

Gender

Male Female Other

Other Details

Reason for Referral

What is the persons disability and support needs?

Is the client a participant of the National Disability Insurance Scheme?

Yes No Unsure

Plan Management

Plan Managed Self Managed NDIA Managed

How did you heard about us?

Consent

I agree with Privacy Policy prior to submitting this form.

Take the step today – new horizons are waiting for you.

You deserve support that actually fits. Our Melbourne team is ready to listen, ready to plan, and ready to make a real difference in your life starting now.

Get Free Consultation

Beyond Limits, Toward New Horizons. We’re a registered NDIS Provider in Melbourne, VIC.

✓ NDIS Registered Provider

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Phone

0436 964 145

Email

info@lhhs.com.au

Location

Melbourne, VIC, Australia

Limitless Horizons acknowledges the Traditional Custodians of the land on which we work and live. We honour their connection to land, waters, and community. We pay our respects to Elders past, present, and emerging, and extend that respect to all First Nations people today.

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