Online Registration For Plan Managment

Thank you for choosing Virtually Accountable for your NDIS Plan Management services. Our Plan Manager services are offered virtually all over Australia.

Register below to access your Registered NDIS Plan Management Manager instantly. Register today, accounts paid tomorrow. Your Choice and Control.

Please download and read the below Service Agreement and Privacy Policy prior to submitting your application.

VA-Service-Agreement-Download

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Online Registration
Register here for both our Support Coordination and/or our Plan Management services.
Participants Name*
First Last
Participants Date of Birth*
Date Format: DD slash MM slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Please do not enter a false email (ie noemail@gmail.com) as this will cause your sign up to be flagged as spam and may cause a delay. This is not a required field, please leave it blank if you do not have an email address.
Phone Number
Please provide us with your preferred contact number. Both landlines and mobiles are accepted.
NDIS Participant Number*
Diagnosed Disability of Participant
Behaviour Managment Plan (BSP)*
Does the Participant have a Behaviour Management Plan?
- Yes
- No
NDIS Plan Start Date*
Date Format: DD slash MM slash YYYY
NDIS Plan End Date*
Date Format: DD slash MM slash YYYY
Plan Management
Yes, I would like Virtually Accountable to provide me with Plan Management *Please note that Plan Management will be found in your NDIS Plan under ‘Improved Life Choices’.
Funding
The amount of Plan Management funding in my plan is:
Support Coordination
Yes, I would like Virtually Accountable to provide me with Support Coordination *Please note that Support Coordination will be found in your NDIS Plan under ‘Coordination of Supports’.
Funding
The amount of Support Coordination funding in my plan is:
Plan Manager
If your plan manager is not Virtually Accountable, please supply your plan managers name below
Do you identify as Aboriginal or Torres Strait Islander?
- Yes
- No
Do you give consent to be contacted for quality and safeguard reviews conducted during an audit?
- Yes
- No
Please attach a copy of your plan
Alternatively we will request this at a later stage
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx.
Nominee Contact Details
Please provide us with your Nominee's Contact details should it be required.
Nominee Name
First Last
Nominee Email
Phone Number
Please provide us with your preferred contact number. Both landlines and mobiles are accepted.
Relationship to the Partcipant
How Did You Hear About Us?
Confirm*
By ticking this box I agree that the details I have provided are true and correct.
Service Agreement*
By ticking this box I am confirming I have read and agreed to Virtually Accountable Service Agreement.
Privacy Policy*
By ticking this box I am confirming I have read and agreed to the Virtually Accountable Privacy Policy and agree to consent to share information.
Continuation of Services
I wish to continue services indefinitely with Virtually Accountable, and will indicate with notice written notice no less than 14 days from date of termination of services, should I wish to cease my agreement with VIrtually Accountable. This is an optional field and is not mandatory
Multiple Choice and Control
Please tick this box to verify you were give other options other than Virtually Accountable for your service provider.
Consent to Share Information*
The primary purpose(s) of this service has been explained to me and I consent to the sharing of my personal information (in written, audio and visual format where necessary) to assist in achieving the primary purpose(s). I give consent to discuss with the following: Allied Health Professional involved in my care. Equipment Suppliers and home modification businesses. NDIS / NDIA / NDIS Quality Safeguard Commission. Support Coordinator / Case Manager / Local Area Coordinators. Relevant stakeholders involved in my care. Plan Manager and/or Nominee where relevant. Should you wish to exclude anyone please list below.
- Yes
- No
Proposed use and Disclosure of my Personal Information
Please list below the providers, who you DO NOT consent to have your information shared/discussed with.
Signature
Due to the NDIS legislative requirements, signatures are required in relation to Consent to Share, where possible. Please use your mouse (or finger on touch screen devices) to sign.
Email
If you have not already supplied your email and would like confirmation of registration, please provide email here.
Any Additional Information

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Online Registration

Nominee Contact Details

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