NDIS Complaint form

This form is to assist you in making a complaint to our organisation. All persons wishing to make a complaint can speak with the Manager or staff member of choice or choose to complete this form. All information is strictly confidential. If you feel unsure about anything or would like help to complete this form, please speak to the Practice Manager. We encourage you to make your complaint in writing. Please allow a maximum of ten (10) days for a response. If you wish to remain anonymous you do not need to provide any personal details.

NDIS complaint form

Name

(please leave blank if you would like your complaint to be anonymous)

Best way to contact you

(please provide email/phone) (please leave blank if you would like your complaint to be anonymous)

Tell us what made you unhappy (your complaint)

Tell us what you would like to happen as a result of your complaint

Have you spoken to us about your complaint prior to completing this form? If yes, who did you speak to?

Please provide any additional information below

If you are human, leave this field blank.

A complaint can also be made to the NDIS Commission by:

Phoning: 1800 035 544 (free call from landlines) or TTY 133 677. Interpreters can be arranged.
National Relay Service and ask for 1800 035 544.
Completing a complaint contact form.

The NDIS Commission can take complaints from anyone about:

NDIS services or supports that were not provided in a safe and respectful way
NDIS services and supports that were not delivered to an appropriate standard
how an NDIS provider has managed a complaint about services or supports provided to an NDIS participant

As well as dealing with complaints, the NDIS Commission works to educate providers about delivering quality and safe supports, and effectively responding to complaints. If a complaint raises a serious compliance issue, the NDIS Commission has powers to take action.

We will acknowledge your complaint within 2 business days. Please allow 10 business days for a thorough investigation of your complaint.

NDIS Complaint form

Unit 17 / 150-158 Argyle Street, Picton NSW 2571

In addition to our individual and relationship therapy, our team provides a variety of evidence-based programs designed to assist with chronic and longstanding conditions, ensuring you receive the right support for lasting change.