Refer to us - Unity OT

Our Services
Meet Our Team
Assistive Technology Prescription
Home Modifications

Our Services
Meet Our Team
Assistive Technology Prescription
Home Modifications

Our Services
Meet Our Team
Assistive Technology Prescription
Home Modifications
Refer To Us

Our Services
Meet Our Team
Assistive Technology Prescription
Home Modifications
Refer To Us

Unity OT Referral Form

If you’re ready to get the dream, believe, achieve process started, please fill out the referral form below. Otherwise, if you would like to get in touch first, please contact us on 0422 211 702 or [email protected]

Referrer name

Relationship to client

Referrer phone

Referrer email

Client's name

Client's D.O.B

Client's Address

Client's pronouns

Client's best contact

Is the client of Aboriginal or Torres Strait Islander Origin?

Yes No Unknown

Has the client had OT input in the past?

Yes No

Client's funding source - Please note at this time, we are unable to support NDIS Agency-Managed and CHSP clients

NDIS Self-Managed NDIS Plan-Managed Home Care Package Medicolegal Funding Client is paying privately

Client's NDIS number (if applicable)

Client's Plan Manager (if NDIS Plan-managed)

Email for Invoices

Client's primary disability or medical condition

Relevant secondary conditions or medical history (if applicable)

Which of the following OT services does the client require?

Complex wheelchair scripting Assistive Technology prescription Home Modifications (Minor/Major) Therapy (Capacity Building) Home Care Package Report Medicolegal Report NDIS Report (FCA/Plan Review) Home and Living Solutions Assessment/Report (SIL/SDA/ILO) Other

Additional Information

Unity ot

Listening, caring and creating solutions together

Talk to our team today and start the dream, believe, achieve process

Make a referral

Have more questions?

Call us on 0432 354 117 or email us at [email protected]

WE SERVICE:

North Brisbane, South Brisbane, Bayside, Ipswich

WE WORK WITH:

NDIS clients (Self & Plan managed), HCP clients, Private clients

WE EXCEL AT:

Report writing, Equipment prescription, Home modifications

About Us

Unity OT provides Occupational Therapy services in Brisbane, including minor and complex home modifications, assistive technology and equipment prescription, medicolegal reports and functional capacity reports.

Contact Info

0432 354 117
[email protected]

Mon-Fri 9am-4pm