Interactive Metronome Order form

🧠 Order your Interactive Metronome

Choose How You’d Like to Pay

You can use NDIS funds or pay privately:

✅ Using NDIS Funds (Self or Plan Managed)?

Submit the form below and we’ll email an invoice to you or your plan manager. Once payment is received, we’ll book your session.

✅ Paying Privately?

Head to our secure [Checkout Page →] to complete your payment and schedule your session.

Phone: 0483 923 104

Email: [email protected]

Interactive Metronome

For NDIS Clients:

Self Managed - Upon completion of this form you will be sent an invoice for payment.
Plan Managed - Upon completion of this form you will be sent a recommendation letter and invoice for you to submit to your Plan Manager.

For Private Clients:

Upon completion of this form, depending on your preference, you will be sent an invoice for payment or directed to make payment now by credit/debit card.

Shipping Timeframes:

Once the invoice is paid/payment received the IM will be ordered from the US. (We place orders monthly on the 1st of each month)
Once the IM arrives in Australia it will be mailed directly to you. (This usually takes about 2-3 weeks)
You will then receive an email with login details for the IM as well as a direct contact for the US Interactive Metronome office for any "troubleshooting" when setting up or using the IM.

NB. IM's ordered before the cut off date (1st of the month) will usually be delivered to you with the last 2 weeks of the next month. Eg. an order placed on May 20th (before June 1st) will be received by mid-end July.

01. Personal Information

First Name (Parent or Guardian) *

Last Name (Parent or Guardian) *

Phone *

Email *

02. Shipping Information

Please provide the address of where you want the Interactive Metronome sent. This needs to be a physical address, cannot post to a PO Box.

Address *

City *

State *

Postal code *

Country *

03. Funding Information

How will payment be funded? *

Do you require an additional user licence? *

No

Yes

Plan Managed or Self-Managed? *

Full Name of Participant *

*for NDIS clients this is the name on NDIS Plan being used

NDIS Number *

*your NDIS number is a nine-digit number that is unique to you

NDIS Plan Manager Name *

NDIS Plan Manager Email Address *

*This email address will be used to send invoices for your program

NDIS Plan Manager Contact Number

Is there anything else you'd like us to know?

I agree to the terms as outlined and order/shipping timeframes