Positive Behaviour Support

PBS referral.

Complete the secure form below to refer a participant for Positive Behaviour Support. Your referral goes directly into our clinical system and is reviewed personally.

* Fields marked with an asterisk are required.

Referrer details

Your name *

Organisation / role

Email *

Phone *

Participant details

Participant name *

NDIS number

Plan type

Reason for referral / goals *

I confirm I have the participant's consent to share these details with Lumen Health Professionals. *

Questions before referring? Email admin@lumenhealthprofessionals.com.au.