Please complete all questions
Please Note: You are unable to self-refer for an Occupational Driver Assessment to determine your medical fitness to drive. Download the Occupational Therapy Driver Assessment to take to your doctor to complete.
I acknowledge I discussed this referral with the client/ patient and they are aware fees are involved in this service.
Please Note: there is a fee to complete this assessment. Please discuss this with the client / patient prior to referring. Please contact the driving team on 9381 0600 if required to confirm costs.
Doctor, OT etc.
A copy of the submitted form will be sent to this email address
Exact date if known, month & year
Please note: Initial assessments begin at $690 for people who are self-funding their assessment. This is a simplified assessment to reduce cost.
*** Uploading a copy of the NDIS plan is not mandatory. However, will assist the team in completing this assessment.
Please note this referral is valid for 6 months. A copy of the report will be sent to you after completion of the assessment.
Please send a copy of the referral to your client / patient.
We will attempt contact on three occasions upon receipt of this referral. Please encourage your client/ patient to contact us at their earliest convenience on 9381 0600.
I acknowledge that Indigo collects the information I provide for the purpose of providing me with this service.
Please note: Initial assessments begin at $690 for people who are self-funding their assessment. This is a simplified assessment to reduce costs.
NDIS or other provider
*** Uploading a copy of your NDIS plan is not mandatory. However, will assist the team in completing your assessment.
Please note this referral is valid for 6 months.
We will attempt contact on three occasions upon receipt of this referral. Please contact us at your earliest convenience on 9381 0600 to make a booking.
Download the Occupational Therapy Driver Assessment and take to your doctor to complete. If you have any questions please call our office on 9381 0600.