Sign Up Form

Become plan-managed by SPM

Before you begin, please read our Service Agreement and information about PACE: The New NDIA System.

"*" indicates required fields

The Participant

Name*
Date of Birth*
Gender*
Address*

Participant's Contact Representative

The following fields refer to the participant's contact representative - a nominee.
Name

Support Coordinator

The following fields refer to the participant's support coordinator.
Name

NDIS Plan

Plan Start Date
Plan End Date
Service Agreement to continue unless terminated by either party.
Accepted file types: pdf, doc, docx, Max. file size: 3 MB.

Preferences

Who is your preferred contact person?*
What is this contact person's preferred method of contact?*

Would you like to approve invoices?*
Would you like to have a login to our portal?*
By accessing our real-time portal, you’ll be able to easily track your spending and NDIS funds.
How would you like to receive statements?*

Terms

Service Agreement*

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How did you find out about Shoalhaven Plan Management?