Request a Service

Fill in the form below and our team will be in touch within 1–2 business days to discuss how we can support you.

What happens next?

1
We review your request within 1–2 business days.
2
A team member will call or email you to discuss your needs.
3
We create a personalised support plan together.
4
Support begins on your terms.

Need to talk first?

Call us directly [email protected]

Central Coast · Hunter Region · Newcastle

Participant Details

Tell us about the person who will be receiving support.

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth

NDIS Number (if known)

Plan & Location

Help us understand your NDIS plan and where you're located.

Plan Management Type

Region *

Suburb

Services Needed

Select all the supports you're interested in. *

Tell Us More

Share anything that will help us understand your situation and goals.

Emergency Contact

Optional but recommended.

Contact Name

Contact Phone

Relationship to Participant

How Did You Hear About Us?

Optional — helps us understand how people find us.

I consent to Hybrid Community Support collecting and using my personal information to process this request and contact me about support services. I understand my information will be handled in accordance with the Privacy Act 1988. *

We will respond within 1–2 business days. Fields marked * are required.