• Participant Referral Support Plan

    Personal Information & Emergency Contact - Step 1 of 6

  • Support Plan
    This support plan will include important personal and safety-related information about the participant and the working environment.

    The support plan will be made available to your support worker or team of support workers. Please include as much details in the support plan as possible so that the workers will be prepared to provide you with the best possible support.

    This plan will consist of:
    1. Personal information
    2. Health and Medical
    3. Safety Assessment Personal

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  • Participant Referral Support Plan

    Health and Medical Information - Step 2 of 6

  • Participant Referral Support Plan

    Goals - Step 3 of 6

  • Participant Referral Support Plan

    Home Safety Assessment - Step 4 of 6

  • NOTE:

    It is the participant’s responsibility to ensure certain safety requirements.

    1. Electrical appliances and power cords are in good working order.
    2. Power cords are attached to power boards and power sockets, and not double adapters.
    3. The house is fitted with a working smoke alarm.
    4. The fuse box is fitted with a safety switch.
    5. Support workers will not be exposed to cigarette smoke in the home

  • Participant Referral Support Plan

    Community Participation - Step 5 of 6

  • Participant Referral Support Plan

    Transport - Step 6 of 6

  • KoalaKare will take reasonable efforts to work with the participant in selecting the preferred support worker

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