We are Registered NDIS Provider!

Open Your NDIS Account with Dryva Today!

Register below to open an NDIS account. Once approved (usually within 3 business days), you will be able to order products and pay by invoice, with your orders shipped first.

NDIS Account Application

Participant Information

Please enter the details of the NDIS participant.

First Name

Participant’s Surname

NDIS Number

Plan Type

NDIA Managed Plan

Self Managed Plan

Plan Manager Managed Plan

Participant’s Phone

Participant’s Email

Delivery Address

Where should the orders be delivered?

Delivery Address

Delivery Suburb

Delivery Post Code

State

Country

Plan Manager Details

Only required if your NDIS plan is managed by a Plan Manager.

Plan Manager Name

Plan Manager Phone

Plan Manager Email

Authorised Person Details

Details of the primary contact or nominee if different from the participant.

Authorised Person Name

Authorised Person Phone

Authorised Person Email

Additional Notes

Open Your NDIS Account with Dryva Today!

Participant Information

Delivery Address

Plan Manager Details

Authorised Person Details

— Sarah M.

— James K.

— Linda R.