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About Yourself
About Yourself
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I am an NDIS Participant
I'm a Parent, Guardian and/or Plan Nominee
I'm a Support Coordinator
A Bit about you
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: 0000 000 000.
About the NDIS participant you are registering for supports
Contact Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: 0000 000 000.
Email
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example@example.com
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Service Details
I would like Core Supports
I would like Parability to support me with my daily living needs in a way that promotes my independence, dignity, and personal goals. This includes assistance with personal care, meal preparation, and domestic tasks within my home environment. I would like to ensure that my supports are tailored to my individual needs, preferences, and cultural background, empowering me to achieve the goals that matter most to me.
I would like Short Term Accommodation And Assistance (Inc. Respite)
I would like Parability to provide short-term respite care when needed to ensure continuity of support in a safe, caring, and structured environment. This support will allow me to receive high-quality assistance tailored to my needs, while also giving my carers the opportunity to rest and recharge with peace of mind.With Parability’s person-centred approach, respite will not only provide a break but also maintain my daily routines, wellbeing, and stability. Knowing that I am supported by a trusted and experienced team ensures that both myself and my carers feel confident, reassured, and supported during these periods.
I would like Community & Group Supports
I would like Parability to support me in building meaningful connections through community and group-based activities that align with my interests and personal goals. These supports will help me develop greater independence, strengthen my social skills, and expand my confidence in engaging with others.Through structured and person-centred support, Parability will assist me to participate in activities of my choice, create positive social relationships, and feel more connected within my community. This will enhance my overall wellbeing while empowering me to live a more active, fulfilling, and socially engaged life.
Supports Required
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Assistance with Personal Domestic Activities
Assistance with Self Care
Assistance With Self-Care Activities - Night-Time Sleepover
Assistance with Social, Economic and Community Participation
House Cleaning And Other Household Activities
Yard Maintenance
Short Term Accommodation And Assistance (Inc. Respite)
Other
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Personal Information (Person Requiring NDIS Support)
Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
NDIS Number
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Contact number
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Please enter a valid phone number.
Format: 0000 000 000.
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
Female
Male
Other
Identified As
Aboriginal
Torres Strait Islander
Aboriginal & Torres Strait Islander
Neither
Any other information that you prefer to share: Eg Disability
Copy of NDIS Plan Provided
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I have read Parability Customer Service Agreement and agree to all of the terms
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