1300 492 214
Hifive Community Services Signup Form
To sign up online for Plan Management or Support Coordination, please complete the details below and hit submit. If you have any questions, please call us on 1300 002 221 (between 9am - 5pm Mon-Fri).
Do you have legal authority to sign up?
Yes, I am the NDIS participant
Yes, I am the plan nominee
Yes, I have legal consent from the NDIS Participant
Please select service(s):
Participant's Full Name (as per NDIS Plan)
Your Contact Details
How are you associated?
Local Area Coordinator/Planner
How did you hear about us?
Reffered by Current Client
We will need a copy of your NDIS plan in order to set you up in our system. Please upload it below by clicking 'Choose File' or send it to us by email to
or by mail to our postal address. Contact and Banking details The Participant/Participant’s representative will provide bank details if necessary, to Hifive Community Services for reimbursement. Participant budgets to be managed The Participant/Participant’s representative will provide Hifive Community Services details of their support budgets as per the Participant’s current NDIS plan. If the support categories or budgets change, the Participant/Participant’s representative agrees that any changes will be submitted immediately in writing to Hifive Community Services. Changes to the Plan The Participant/Participant’s representative, agrees to immediately notify Hifive Community Services and provide relevant plan details in writing, if the Participant’s NDIS Plan is replaced by a new plan, or the Participant ceases to be a participant in the NDIS. Ending this Service Agreement Should either Party wish to end this Service Agreement they must give 14 days notice in writing. If either Party seriously breaches this Service Agreement or the NDIA directs us to terminate this agreement the requirement of notice will be waived. Feedback, complaints and disputes If the Participant/Participant’s representative wishes to provide feedback, or is not satisfied with the provision of supports and wishes to make a complaint, the Participant/Participant’s representative can contact the General Manager on 1300 492 214 or by email
221 Watton Street, Werribee, VIC 3030
1300 492 214