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Clients and Residents

Level 3 Personal Care Services Forms

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Additional Services Request (Form-0001B) oPDF 

Personal Care Assistance Request (Form-0045) or PDF

Financial and Clerical Assistance (Form-0046) or PDF

Community Access Supports (Form-0047) or PDF

Assistance with Tobacco Management (Form-0054) or PDF

Assistance with Blood Glucose Level Monitoring (Form-0067) or PDF

Self-Monitoring Blood Glucose Levels Declaration (Form-0075) or PDF

Allocation of Funds for Spending (Form-0072) or PDF

Assistance with Mealtime Management Plan (Form-0073) or PDF

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Residential Forms
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Client Information (Form-0001A) or PDF

Avalon and Skymac Facilities Flyer PDF

Avalon Information Flyer PDFfroms

Residents Handbook PDF

House Rules PDF

Fees and Charges PDF

RTA Form R1 - Condition Report PDF

RTA Form R9 - Entry Notice PDF

RTA Form R11 - Notice to Remedy Breach PDF

R18 Form Avalon - Standard Version

R18 Form Avalon - Public Trust Version

R18 Form Thornfields - Standard Version

R18 Form Thornfields - Public Trust Version

Direct Debit Form (RENT) PDF

Direct Debit Form (SPENDING) PDF

Centrepay Deductions Form-0078 or PDF

Resident Entry Checklist (Form-0005) PDF

Resident Exit Checklist Form-0006).PDF

Resident Assessment (Form-0009) or PDF

Residents Going Away Independently Checklist (Form-0085) PDF

Checklist for Supporting a Resident on Excursion (Form-0082) PDF

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Consent Forms
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Consent to Open Mail (Form-0053) or PDF

Informal Decision Maker Details (Form-0071) or PDF

Disclosure of Relationship (Form-0056) or PDF

Photo Consent and Media Release (Form-0068) or PDF

Authority to Share Information (Form-0069) or PDF

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Complaints and Feedback
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Complaints and Feedback (Form-0011)

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Templates
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Statement of Consideration in using Restrictive Practice Letter Template DOCX

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Other Internal Forms
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Behaviour Charting (Form-0061) or PDF

Transition Plan (Form-0070) or PDF

Hospital Transfer and Care Information (Form-0021) or DOCX or PDF

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Yellow Cab Forms
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New Participant Information Gathering Form PDF

Yellow Cabs Service Agreement 2019 (NDIS Managed) PDF

Ordering a Cab Poster PDF

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Support Care Plan
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Support Care Plan (Form-0050) or DOCX or PDF​

Person-Centred Emergency Management Plan

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Pet Ownership
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Pet Ownership Agreement (Form-0079) or PDF

Guidelines for the Care of a Pet in a Care Home (Form-0039) or PDF

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