Clients and Residents

Level 3 Personal Care Services Forms

Additional Services Request (Form-0001B) or PDF

Assistance with Medication (Form-0044) or PDF

Self-Managing Medication Declaration (Form-0052) or PDF

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

Residential Forms

Client Information (Form-0001A) or PDF

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 Thornfield - Standard Version

R18 Form Thornfield - Public Trust Version

Direct Debit Form (RENT) PDF

Direct Debit Form_(SPENDING) PDF

Centrepay Deductions Form (Fillable PDF)

Resident Entry Checklist_(Form-0005) PDF

Resident Exit Checklist_(Form-0006) PDF

Resident Assessment Form_(Form-0009) PDF

Residents Going Away Checklist (Form-0059) or PDF

Consent Forms

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

Complaints and Feedback

Complaints and Feedback (Form-0011)

Templates

Statement of Consideration in using Restrictive Practice Letter Template DOCX

Other Internal Forms

Behaviour Charting (Form-0061) or PDF

Transition Plan (Form-0070)

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

Yellow Cab Forms

New Participant Information Gathering Form PDF

Yellow Cabs Service Agreement 2019 (NDIS Managed) PDF

Ordering a Cab Poster PDF

Personal Care

Personal Support Care Plan (Form-0058) PDF

Pet Ownership

Pet Ownership Agreement PDF

Guidelines for the Care of a Pet in a Care Home or PDF