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MS Plus

Referral form

Refer patients to us using our online form. Provide some basic details about your patient, including which services would be useful to them, along with their contact details and we can get in touch to provide support.

Referral form

As trusted experts in neuro with over six decades of experience, we have helped thousands of clients and their loved ones to navigate the complexities of managing multiple sclerosis (MS) and other neurological conditions.

We’re here to support your patients with a comprehensive suite of NDIS, allied health and employment support, along with expert advice, wellbeing programs and peer support.

Refer patients to us using our online form below. Let us know some basic details about your patient including which services you think would be useful to them along with their contact details and we can get in touch to provide support.

Refer patients to us using our online form below.

Referral form for MS Plus Support and Services


Your organisations details





Health professional details (referrer)





(office number, mobile)


* = this includes consent from the patient's guardian if they are not able to provide consent themselves.
Who the service is for



(mobile or home no.)



(ACT, VIC, NSW, & TAS only)
Clinical assessment


(e.g. "client wants to return to work", "immunotherapy information", etc)

(e.g. pertinent medical documentation, letters from Centrelink, etc)
Services/Programs desired
I am referring my patient for:





Note: not all services are available in all states; however we will endeavour to refer on to other providers where appropriate.


(carer's full name, contact number, relationship to patient, etc)

Contact Information

Let’s talk about your support

If you or someone close to you has been diagnosed a neurological condition, we’re here to support you – both now and throughout your journey.

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