Intake Inquiry

If you would like to access our services or programs but are not currently registered with Gateways Support Services, please complete our Intake Inquiry form and we will contact you to begin the process, or phone your nearest Gateways office in Geelong, Werribee, or Footscray.

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Service

Participant

Participant's Name*
DD slash MM slash YYYY
Gender*

Do you have a support coordinator?*

Person Completing Form

Same as above?
Name

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Head office
12-14 Thompson Rd
North Geelong,
VIC
3215
03 5221 2984
03 5223 1789
info@gateways.com.au
  • Monday-Friday8:30am - 5:00pm
Information
Get Involved
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Gateways is an NDIS and DFFH registered disability service provider, with quality accreditation.

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Share our vision and help us provide support for children and adults with disabilities and their families, to maximise their quality of life.

We acknowledge the traditional owners and custodians of the land we stand on. We recognise the diverse needs of our community and we ensure our services are inclusive of all children, young people and their families including those who are of Aboriginal and Torres Strait Islander descent, from culturally and/or linguistically diverse backgrounds, those who identify as LGBTIQ and persons living with disability.