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Unique Solutions

Adaptable Solutions

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Unique Solutions

Adaptable Solutions

Enquire Now

If you have a general enquiry or would just like to email us a question, we recommend you fill out our Enquiry Form here.

If you are ready to request a service, fill out the referral form below!

Request a Service

Who is submitting this request?
Requested by*
Name*
Phone Number*
Email*
A confirmation email will be sent to this address if your request has been successfully submitted.
How did you hear about us?*
Client Details
Legal Name*
First Last
Preferred First Name (if different to legal name)
First
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender
Diagnosis*
Address*
Street Address Suburb ZIP / Postal Code
Phone
Email
Client Details
Are you of Aboriginal or Torres Strait Islander origin?*
- No
- Yes Aboriginal
- Yes, Torres Strait Islander
- Yes, both Aboriginal and Torres Strait Islander
Will you require the assistance of a translator?*
- Yes
- No
If yes, please specify language required
Next of Kin Details
Next of Kin
Relationship to Client
Phone
Email
Agent Details
Name
Organisation
Phone
Email
Occupation
Project Contact
Main Contact for Project*
Your Request
How can we help?*
What are your goals/what are you hoping to achieve?
What other equipment/solutions have you previously tried?
Do you have a solution in mind? (It's okay if you don't!)
Will the project be at the Client's address?*
- Yes
- No
please specify project address
Additional Information
If you have any additional documentation you would like to include with this request, such as a photo or file, you can upload it here.
Your funding source (if known)*
- NDIS
- TAC
- Self-funded
- Other
- Not applicable for this request
NDIS Clients
NDIS Client Number
Plan Start Date
Date Format: MM slash DD slash YYYY
Plan End Date
Date Format: MM slash DD slash YYYY
How is this plan being managed?
- NDIS
- Plan-managed
- Self-managed
For Managed Plans we require the name of the organisation managing your plan. Please also enter the address and phone number if you have it.
Upload your NDIS Plan
If you have an electronic copy of your current NDIS plan, you can upload your plan here.
TAC Clients
TAC Claim Number
TAC Contact Name
TAC Contact Phone
TAC Contact Email
Funding organisation
Phone
Email
Is the client aware of this request and have they provided consent for the personal information provided on this form to be shared with Solve?*
- Yes
- No
Privacy Statement*
- Information entered on this page is collected for the sole purpose of enabling us to provide our service. It will not be sold to a 3rd party. (Read more in our privacy policy). Please indicate your understanding of this by ticking the box.
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Please find below links to editable PDFs to enquire about our services:

Unique Solutions Enquiry form

Adaptable Solutions Enquiry Form

Freedom Wheels Enquiry Form

Once the forms are completed please email to solutions@tad.org.au and we’ll be in touch shortly!

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Stay in Touch

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Last name
Email*

TAD acknowledges the traditional owners of country throughout Australia and recognises their continuing connection to land, waters and community. We pay our respects to them and their cultures and to elders past, present and emerging.

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