Make a referral - to a team that listens.
One secure referral app for participants, families and professionals. Only a few basics are required - skip anything you're unsure about and we'll confirm it with you at intake. Your answers stay on this page until you submit or leave.
Let's just see if we're a fit.
You don't have to have it all worked out. Your first conversation with us is always about getting to know you and finding the right person - no commitment, no pressure. Prefer to talk first? Call 1300 487 996 or email hello@ellira.com.au and we'll take it from there.
What happens next
You send the form - or just call/email
Use the form below, call 1300 487 996, or email referrals@ellira.com.au. Send what you have; we can fill the gaps together.
A real person replies within 1 business day
We confirm receipt, ask anything urgent, and make sure you have a direct way back to us: 1300 487 996 or referrals@ellira.com.au.
Free intake call - fit, funding and who you'll work with
We talk through goals, plan type, timing, safety needs and worker fit before anyone commits to ongoing support.
Referral app
Before you start. This app is run by Ellira Pty Ltd (ABN 96 688 683 301), a private disability and mental health support provider working across Victoria and central Perth. It is not an NDIA, NDIS or government form.
What you enter goes only to Ellira's intake team, over an encrypted connection, and is used only to respond to this referral. The referral app is designed to create an access-controlled referral record in Ellira's secure signing system where that system is enabled. We don't share it with anyone else without consent. Almost every field is optional - skip anything you'd rather discuss at intake. Read our Privacy Policy, or call us on 1300 487 996 instead if you'd prefer not to use an online app.
Questions about how we handle this information? See our Privacy Policy or call 1300 487 996.
For support coordinators & professionals
Capacity and response
Currently accepting referrals across all services in Victoria; telehealth supports in central Perth.
A real person replies within 1 business day. For direct referrals, email referrals@ellira.com.au.
What to include
- Participant consent to refer, or a note that consent will be confirmed at intake.
- NDIS number and plan type if known.
- Supports sought, goals and rough timing.
- Any safety context we should know before first contact.
- Relevant documents if you have them - gaps never block a referral.
Referral FAQ
Do I need consent to refer someone?
Yes. Please confirm the person agrees to the referral, or tell us consent still needs to be obtained - we'll confirm it at intake before using or sharing details.
Can I refer by phone or email instead?
Yes - call 1300 487 996 or email referrals@ellira.com.au and we'll take it from there.
What if the person doesn't have an NDIS plan yet?
We can still talk. We offer free support with NDIS access - helping people understand the process and prepare a strong application. No plan, no charge, no obligation.