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Social Support Group Application Form

Enrolment Process

If you require clarification or assistance with any questions, please call 1300 699 622.

  1. Registered with The Y Inclusion Services

  2. Complete this Application form

  3. Support Coordinator will send a Service Agreement listing all NDIS fees and Confirmation of successful enrolment to the program (your place on the program is pending a signed Service Agreement being returned).

If there is a day/night you will not be attending the program you are enrolled in, you can opt out. Please let us know if you wish to opt out of any date by emailing care@ywhittlesea.org.au or by phoning 1300 699 622.

Application Form

This application form is used to register your interest in the upcoming social support groups offered by the Y.

Explore Our Services

Person-centred disability support across Victoria, from 1:1 home and community support to social groups, respite camps and holiday programs.