Participant Intake Form

This 4-page comprehensive client intake form is designed to gather essential information about an individual with a disability and their specific care needs to enable providers and sole traders to write up a care plan, service agreement, and provide high-quality person-centred care. It includes sections such as:

• Client and care person contact details
• Emergency contact
• Funding Type
• Support coordination and plan management contacts
• Relevant cultural information
• Diagnoses & other relevant medical details
• Communication preferences 
• Therapies and Behaviour plans
• Medications
• Type of supports (community access, transport, high intensity, personal care)
• Support hours needed
• Large additional notes section

The form serves as a vital tool for service providers, caregivers, and support professionals to ensure they share a thorough understanding of the client's needs and can tailor their support services accordingly. By collecting detailed information upfront, service providers and sole traders can streamline the intake process, better allocate resources, and ensure that the client receives the most appropriate and effective care possible.

Disclaimer: These documents are created to align with Australian legislation and industry best practice. Users of these documents should consult with a qualified legal advisor or compliance professional to ensure that any information contained herein is applicable to their specific circumstances and is in compliance with their State and Territory laws and regulations.