Sign Me Up – Australia

We are here to take care of and manage your NDIS plans. Signing up only takes few minutes and you consent to being contacted by one of our team members for a follow-up.

Should you need help or assistance, please contact us on 1300 069 776.

Language * Text value required

Service Agreement

Participant's First Name * Text value required

Participant's Last Name * Text value required

Participant's address * Text value required

Gender * Please select one option

Date of birth * Text value required

Email address (optional) * E-Mail address value required

Phone number * Phone number value required

This Service Agreement is between the participant and the provider Pro Plan Managers. Please find our service agreement below this form.

NDIS Number * Text value required

Plan Start Date * Text value required

Plan End Date * Text value required

Upload NDIS Plan

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Service Agreement Start Date * Text value required

Service Agreement End Date * Text value required

Participant Representative Contact Details

Full name * Text value required

I am the NDIS participantI am the primary decision maker for the participant

Your relationship to the participant * Please select one option

Your message (optional)

Mobile/Phone * Phone number value required

Email address * E-Mail address value required

Address * Text value required

Alternative Contact Person * Text value required

Invoice Visibility

Invoice Visibility I want the plan manager to auto-approve all the invoices.I want the plan manager to seek approval before processing each invoice.I want the plan manager to obtain a copy of the service agreement from the provider and approve the invoice based on the agreement

All the invoices must be sent to the following email address for approval:

* I have read, understood and agreed to the service agreement, terms and conditions and client declaration found under this form Checkbox mandatory

Submitted by

Name * Text value required

Phone * Phone number value required

By submitting this form, I accept that the information entered will be used within the strict framework of my request* Checkbox mandatory

*These fields are mandatory

Pro Plan Managers is committed to ensuring that the collection and processing of data carried out by our proplanmanagers.com site complies with the General Data Protection Regulations (GDPR) and the Data Protection Act. To know and exercise your rights, particularly concerning the withdrawal of consent to the use of collected data, please consult our privacy policy

Service agreement, terms and conditions and client declaration

Reimbursement form

MyPlan Purchase Payment Request Form

Only complete this form to record payments made for supports in your plan if you have already made the payment and your funds are Plan Managed.

Participant details

Full name (compulsory) * Text value required

Date of birth * Text value required

NDIS number * Number value required

The following payments for NDIS Plan-managed supports have been made

Purchase / Invoice date * Text value required

Upload Invoice *

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or

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Total amount of this payment request (GST Inclusive) * Text value required

Third party details

Full name (compulsory) * Text value required

Relationship to participant (if not participant) * E.g. child representative, plan nominee Text value required

Date * Text value required

Bank Account Details (EFT)

Please list the bank account details where you want the funds to be reimbursed into:

Account Name * Text value required

BSB * Text value required

Account number * Text value required

* I acknowledge this to be a verbal agreement Checkbox mandatory

Submitted by

Name * Text value required

Notice * I have read and understood the client statement found under this form Checkbox mandatory

By submitting this form, I accept that the information entered will be used within the strict framework of my request* Checkbox mandatory

*These fields are mandatory

Client statement