Service Request Pirates Service

  • Service Request Pirates Service

  • About Pirates's Services

    Pirates is the QLD trading name for Wonderland Community Services Pty Ltd is a registered NDIS Provider: 4050042146

    Wonderland is committed to a holistic service for our participants meaning we want to improve the whole experience of our participants in their life working with family, friends and other network supports.

    We have two main divisions - our Accommodation and Care Services and our Professional Services. Our staff work seamlessly accross these services if required. (www.piratesrest.com.au)

    In our accommodation and care services we always look to build the capacity of our participants and in our professional services we always consider the reality of the day to day practical needs of our participants. 

    * Pirates Rest - Short Term Supported Accommodation and Respite - QLD 1-14 days.

    * Pirates Haven - Medium Term Accommodation - QLD 2 - 12 weeks.

    * Pirates Care - In-home support

    * Pirates Adventures - Social, community and recreation activities - out and about.

    Learn more about these great new creative initiatives on our Pirates Rest website.

    Let us know if we meet your expectations! We hope we do and exceed them as well. 

    Toni Mehigan - Director

  • Image field 40
  • Image field 41
  • Image field 42
  • Image field 43
  • NDIS Service Request

  • Demographic Information

  • Referral Date*
     / /
  • Date of Birth*
     / /
  • Browse Files
    Cancelof
  •  -
  •  -

  • KEY CONTACTS

  • You may like to include family and other medical or professional contacts in the below table. This may include the GP or Out of Hours GP, family contacts, Speech or Occupational Therapists etc.

  • Rows

  • CARE PLANNING INFORMATION

  • Diagnosis

  • Medical Condition

  • How can we help?

  • What is the participant's current COVID-19 vaccination status?

  • Browse Files
    Cancelof
  • Are the medications listed used for a diagnosed physical disability? (ADHD & Autism are considered neurodevelopmental physical disorders.)*
  • Are the medications listed used for Chemical Restraint?*
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Existing Services with our Organisation
  • Does the participant have any of the following?

  • SAFETY ISSUES

  • PLEASE NOTE (for duty of care for very young participants)

    Under 8 yrs participants will automatically be placed on a 1:1 support ratio.

    Under 12 years participants will automatically be placed on a 1:2 support ratio or higher depending on safety requirements. 

  • The following assessment has been designed to ensure safety for participants while participating in off site activities and in day to day living experiences while in our care. 

    Please rate the level of need for this participant.

    1 - little support (requiring 1 worker to 4 participants - 1:4)

    2 - low support (requiring 1 worker to 3 particpants - 1:3)

    3 - moderate support (requiring 1 worker to 2 participants- 1:2)

    4-high support required (1:1 support)

    5 - extremely high needs (2:1 support) 

  • Rows
  • Rows
  • Rows
  • Rows
  • Rows
  • Rows
  • Date
     / /

  • Version date 17.09.2021

  • Should be Empty: