NDIS Client Registration

IMPORTANT: Orders made for plan managed accounts will be sent to your provider and once approved by your provider will be despatched to you and invoiced direct to your provider. You will be able to follow the progress of your order by logging into your client account on the eatwellhealth.com.au website. Once you have completed and submitted the form below you will be emailed your account details allowing you to access your account and place orders.

Please note that fields marked with an asterisk (*) are required fields and must be filled in to proceed.

If you provider is not listed in the drop-down menu, please select the “My Plan Manager is not listed” option and you will asked to provide your provider contact details.

Select Plan Manager*

Plan Manager*

Plan Manager Phone*

Plan Manage Email*

First name*

Participants Surname*

NDIS Number*

Participants Phone*

Participants Email*

Participants Delivery Address*

Delivery Suburb*

Participants Post code*

State*

Country*

Additional Notes

Password*

Confirm Password*

If contact details of person authorised to place orders and answer all queries differs to the participant named above, please enter below.

Authorized Person Name*

Authorized Person Surname*

Authorized Person Phone*

Authorized Person Email*

Item

Price

Qty

Total

Subtotal

$0.00

Shipping

Total

Net Orders Checkout

Shipping Address

Shipping Methods