• Step 1 of 5:Front of your KISA NDIS Emergency device

    Please enter names and phone numbers for your contacts. You can have up to 10 contacts. Phone numbers are optional and can be changed remotely later.

    Name Phone Number
     Same size text on all buttons
     Braille contact buttons on the front of the phone.
    KISA phone front preview
  • Step 2 of 5:Back of your KISA NDIS Emergency device

    Please enter addition information to be shown on the back of your KISA NDIS Emergency Device.

     Show assigned phone number on the back of KISA NDIS emergency device.
    KISA phone back preview
    Phone number details:
     I want a new mobile number
     I want to keep my existing mobile number

    If you want to get a new mobile number with KISA, we will assign that number to you. The number cannot be changed once assigned and you will not be able to transfer a different number to KISA once you have placed your order.

    You can transfer an existing mobile number to KISA, but you need to be aware that you will need to terminate your contract with your existing provider and this may have consequences for you (including payment obligations to your existing provider). See our FAQs for more details.

    Please enter the phone number associated with your SIM card.

    Please note: if you don't provide us with your mobile number, you won't have access to remote control settings and be able to make changes to the phone, because we require the mobile number to be able to send an update to the phone.

    If you do not know what the mobile number is now, please leave it blank and submit the order and then contact our friendly team on: 1300 557 453 to provide us with what the mobile number is so that we can update our records.

     This is a billed service
     This is a prepaid service
    Current Mobile Provider:
    SIM Card Account Holder DOB:

    Acknowledgment of obligations:

     I declare that I have a contractual right to the Mobile Service Number(s) (“MSN”) and am authorised to request porting of the MSN. I acknowledge that Kisa has advised me that this Customer Authorisation Form is only valid for a period of 30 days; and that porting will take place within 2 business days of the date nominated on this form is submitted. I acknowledge that I have been advised that by Porting the Mobile Service Number, the service and/or Related Services associated with that Number may be disconnected from the Losing Service Provider and may result in finalisation of the account for that service. I authorise the MSN and the Network Type (GSM, UMTS) and any other porting information to be disclosed to other carriers, network providers, portability service suppliers and financial institutions for the purpose of porting and routing of calls to the MSN, complaint handling, customer and network fault management, fraud prevention and fraud investigation.
     I acknowledge that I have been advised by Kisa that I must use a KISA phone handset with this service and my old handset cannot be used.
     I acknowledge that I have been advised by Kisa of the following:
    • Although I may have the right to Port the Mobile Service Number, there may be costs and obligations associated with the existing mobile service and Porting the Mobile Service Number;
    • I may or may not be in an existing contract with the current Service Provider; and
    • The contract may or may not include an obligation to make early termination payments to the current Service Provider.
     Tick All
  • Step 3 of 5:KISA NDIS Emergency device Design

    Choose from one of our designs:

  • Step 4 of 5:NDIS Participant Details
  • Step 5 of 5:KISA NDIS Account Details

    We recommend for the Account Holder to be a carer or a family member, not an NDIS participant.

    You are adding a new phone to your existing account.

    You do not need to re-enter your registration details.

    DOB *:
    Primary / billing address:
     Tick this to ship to a different address
    Shipping address:
    Please tell us how you found out about KISA:

    KISA NDIS Package Includes:

    KISA NDIS Emergency Device
    KISA NDIS Emergency Device Accessories
    12 Months KISA NDIS GPS Tracking Service
    12 Months KISA NDIS Unlimited Service
    Postage & Handling

    To proceed, please click on the Submit Order button below.
    Our KISA Team will be in touch with you if we require any further information.
    Your KISA NDIS Emergency Device will be manufactured and sent to you after payment has been received.

     I agree to terms and conditions *

 Add Photo
Use Add Photo button to select a photo Use Add Photo button above to select a photo
By saving I confirm that I have the right to upload the photo to KISA's website and to place the photo on my device.
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