NDIS Interest Form

If you are an NDIS participant (or a support worker representing a participant) interested in Mirosuna’s support services, please fill out our interest form below so can be in touch shortly to help you.

Full Name

Contact number

Date of Birth

Are you a:

Self-Managed participant Plan Managed participant Carer/Support Worker Plan partner/agency

What are your NDIS and personal goals that you'd like to work on at Mirosuna?

What Mirosuna services are you interested in? It's okay if you don't know, we can help recommend what is best for you.

Describe your disability/condition and anything we need to be aware of to help you.

What support will you need to participate in our activities? (if any)

How did you find out about us?

Let us know if you have any further questions for us

WE ARE HIRING MEDITATION, REIKI AND MASSAGE PRACTITIONERS. REGISTER YOUR INTEREST TODAY.

NDIS Interest Form