NDIS Initial Support Assessment Form NDIS Initial Support Assessment FormNDIS Initial Support Assessment FormFurther 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 DetailsBasic 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 QuestionnaireIn-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 MakingIdentify who makes the decision when it comes to the services provided to the participant.Communication and Accessibility NeedsIdentify any communication and accessibility barriers if present.Health, Wellbeing and Safety RequirementsIdentify risks that might affect both the participants and the service provider.Joint Planning/Case CoordinationIdentify possible stakeholder involvement - any joint meeting or dialogue we should be aware of.ConnectionIdentify 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 CornerRecords of the participant's personal preference, goals, needs and aspirations and how Elevate Care Connections can support the participant to achieve these.Service DeliveryDetails of how, when and where will Elevate Care Connections supports be delivered.Where is the primary location for the supports to take place? Client's recorded residential address Guardian's residential addressAgreementCheck all the box that is best applicable to this agreement. All parties agree with this Initial Support Assessment. A copy of this Initial Support Assessment has been provided to the participant (or guardian, if applicable). The participant (or guardian, if applicable) elected not to receive a copy of this Initial Support Assessment.Participant/GuardianName and signature of the participant/guardian.First NameLast NameAssessing Staff MemberName and signature of assessing staff member.First NameLast NameSubmit Form