Peritia Care Services

1300 PERITIA
(1300737484)

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Client Referral Form

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    Referrer Details

    NDIS Participant Details

    Participant's NDIS Plan Details

    Emergency Contact Person Details

    Guardian Details

    NDIS Services Required

    Accommodation / Tenancy Assist-Life Stage, Transition Assist-Personal Activities Assist-Travel /Transport Daily Tasks /Shared Living Innov Community Participation Development-Life Skills Household Tasks Group/Center Activities

    Participant Diagnosis

    Participant Risk Assessment

    Potential Issues For Staff Visiting

    Participant Consent Section

    I understand that the following service(s) are recommended and relevant information about me may be forwarded to the agency(s) that provide these services, in order that I receive the best possible service: I understand that the service must comply with relevant privacy laws and I will contact the organization immediately if I feel that these laws have been breached. Peritia Care Services will protect and store all my information in a locked file, and will not distribute my documents other than the listed services mentioned above. Management has discussed with me how and why certain information about me may need to be provided to other service providers. I understand that recommendation and I give my permission for the information to be shared with the people or agencies as detailed above. I agree with auditing bodies to access my files for review of Peritia Care Services Quality assessment.

    Peritia Care Services

    Help us connect individuals with disabilities with our comprehensive and personalized support services.
    Are you a social worker, healthcare practitioner, or other service provider in NDIS Australia seeking a dependable and efficient method for directing customers to our NDIS services? Peritia Care Services is aware of the significance of precise and timely referrals in guaranteeing that people with disabilities get the assistance they require to live fulfilling lives. Our hardworking staff is committed to provide superior, individualized support services that are tailored to the particular requirements and objectives of every single client.
    Advantages of Introducing a Customer to Our NDIS Services:
    • All-inclusive assistance services customized to meet your objectives and demands
    • Having access to a group of knowledgeable and experienced experts
    • Adaptable and prompt assistance choices to meet the requirements of your clients
    • Continuous dialogue and cooperation between you and your client