Participant Details

Patient

You're on the quickest path to get started with Neuroqueer. This all-in-one form will get everything sorted in one go. Here’s what to expect:

  • What it covers: All the essential details, including your service agreement.
  • Time: About 10-15 minutes (feel free to grab a comfy drink!)
  • Afterwards: A copy of everything will land straight in your inbox.

Once you're done, you'll be all set for your feel-good support.


Not feeling the Fast Track vibe?
If you're feeling a bit overwhelmed by all the questions, or would prefer to chat with a person first and take things step-by-step, the Guided Journey is waiting for you. It's totally okay to switch paths.


If your NDIS funding is agency-managed, please contact us before starting this form.

Patient Details

Phone Numbers

* Mandatory questions