Name *

First Name

Last Name

State *

ACT

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NT

QLD

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WA

Are you a NDIS registered service provider? *

Yes, I am a registered NDIS service provider

No, I am looking to register as a NDIS service provider

Do you have existing disability specific policies and processes? *

Yes

No

Would you like us to contact you about how we can assist with your current NDIS compliance needs? *

Yes

No

Agreement *

I agree to the Centro ASSIST Terms & Conditions (http://www.centroassist.com.au/terms-conditions). I agree to be informed by Centro ASSIST by email about news and offers. My email address will not be passed on to third parties. I may at any time unsubscribe from this free service.