NDIS Initial Support Assessment Form

NDIS Initial Support Assessment Form

NDIS Initial Support Assessment Form

Further details regarding the participants that would guide our assessment team to determine who among our team members would be the most suitable candidate to provide support to the participants.


Participant's Details

Basic information of the NDIS participant.


Guardian Details (If Applicable)

Provide the contact details of the participant's guardian, if applicable, write N/A if this section does not apply to the participant.


Initial Support Assessment Questionnaire

In-depth details of the participant that would guide our assessment team in providing the appropriate level of support and to determine who among our team members would be the most suitable candidate to provide support to the participant.


Decision Making

Identify who makes the decision when it comes to the services provided to the participant.


Communication and Accessibility Needs

Identify any communication and accessibility barriers if present.


Health, Wellbeing and Safety Requirements

Identify risks that might affect both the participants and the service provider.


Joint Planning/Case Coordination

Identify possible stakeholder involvement - any joint meeting or dialogue we should be aware of.


Connection

Identify any form of connection and/or relationship the participants have towards their immediate family, friends, other support system and to the community.


Participant's Personal Corner

Records of the participant's personal preference, goals, needs and aspirations and how Elevate Care Connections can support the participant to achieve these.


Service Delivery

Details of how, when and where will Elevate Care Connections supports be delivered.


Agreement


Participant/Guardian

Name and signature of the participant/guardian.


Assessing Staff Member

Name and signature of assessing staff member.