NDIS Registered Personal Alarms

Self managed NDIS participant?
If you’re a self managed NDIS participant please complete the Client Details form below.

Plan managed NDIS participant?
If you’re managing an NDIS plan please complete the NDIS Manager/Health Professional Details form below.

We’ll send you a quote and an invoice if you’d like to go ahead with a purchase. If you’re an NDIS participant who is plan managed you can complete this form as well. Just be sure to include the contact details for your plan manager so we can organise your device through them.

NDIS

Would you like a quote or invoice?

Quote

Invoice

Referrer name

Name of organization

Email(Required)

Account Dept Email

Billing address(Required)

Street Address Address Line 2 City State Postcode Country

Referrer contact number(Required)

i'm interested in

TEQ-FallsAlert falls detection radar

TEQ-Secure personal safety alarm

Client details

Client's name

Client's contact number(Required)

Client's email(Required)

NDIS Participant

Yes

Ship to address

Street Address Address Line 2 City State Postcode Country

Clients residential address same as shipping address?

Yes

Who will pay the annual renewal fees (incurring from 2nd year)?

Client

Referrer

I'm interested in

TEQ-FallsAlert falls detection radar

TEQ-Secure personal safety alarm

Need help? Contact us at support@sofihub.com or call 1300 110 366 (Australia) +61 3 8866 5592 (International).

NDIS

NDIS

Client details

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