• NDIS Participant Intake Checklist



  • FREEDOM INDEPENDENCE CARE – Important Information and Consent


    Please complete this form to confirm your understanding, rights, responsibilities, and consent when accessing


    FREEDOM INDEPENDENCE CARE services under the NDIS.

    FREEDOM INDEPENDENCE CARE provides supports under the
    National Disability Insurance Scheme to give you choice and control while you work toward your goals.

    Our role is to deliver
    safe, respectful supports that align with your NDIS plan and the NDIS Practice Standards and Code of Conduct.

    Your Rights



    • Be treated with dignity and respect

    • Receive safe and quality supports

    • Make choices about your supports

    • Have a support person of your choice

  • NDIS START DATE*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Please read each statement and tick the box to confirm you understand.

  • Participant Declaration

    To be completed by the participant
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: