AkinCare Support Profile: Getting To Know You!

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Section 1: The Basics & Emergency ContactsBecause our staff provide services in your home and community, we have a strict duty of care. If a medical emergency or an unexpected situation occurs while we are with you, we need to know exactly who to call to ensure you are safe and supported. If you are filling this in on behalf of the person being supported please use their details below.
Your Full Name (Including Your Preferred name or nickname)
Your best contact number (Mobile)
Your DOB 00/00/0000
Your email address
Please Select
Please Select
Phone
Email
SMS
How do you like to be contacted?
Emergency Contact Name
Emergency Contact Telephone Number
Please Select
Please Select
Case Manager
Daughter / Son
DVA Advocate
Extended Family Member
Friend
Grandchild
Housemate / Roommate
Legal Guardian
Mother / Father
Neighbor
Niece / Nephew
Power of Attorney / Next of Kin
Primary Carer
Sister / Brother
Spouse / Partner
Support Coordinator
Other
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Section 2: Health, Accessibility & Sensory NeedsTo provide the highest standard of care, we need to understand how you navigate your environment and experience the world. Knowing about allergies, sensory sensitivities, or mobility aids ensures our staff adapt their approach so you always feel safe, respected, and comfortable.
Do you have allergies, or sensitivities to strong smells, textures, or loud noises?
Do you use any mobility aids or medical equipment, like wheelchairs or oxygen tanks?
Are there any recent diagnoses, ongoing health issues, or medications we should note?
Is there anything else about how you communicate or manage your health we should know?
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Section 3: Your Home Environment & Service PreferencesWe want to do things your way. Knowing about your environment, including pets, helps keep everyone safe. Understanding your routines and top priorities allows us to focus our time on what matters most to you.
Do you have pets (names/types)? Are they indoors/outdoors, protective, or prone to slipping out?
What are your top priorities during a shift? (e.g., specific tasks, a set routine, or simply chatting).
During domestic support, are there any rooms or specific items that are strictly off-limits?
Do you have any specific staff preferences? (e.g., female-only workers for religious reasons).
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Section 4: A Photo of You (Optional but Highly Recommended)Why we find this helpful: Having a photo on your AkinCare profile helps us in two important ways. First, it allows our staff to put a friendly face to a name before they even step through your door, helping to build a warm connection from day one. Second, it helps us ensure your safety; it guarantees our support workers know exactly who they are looking for, giving you peace of mind that the right person is supporting you at home or in the community.
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Section 5: Access & SafetyWe need to know the safest and most convenient way to reach you, especially if you have mobility challenges or if we are visiting your property for the first time.
How should staff access your property (e.g., knock & wait, doorbell, key safe) & where should they park?
Are there physical hazards on the property to note? (e.g., steep stairs, slippery paths).
Who else is present during shifts? Are there any behavioral risks or triggers at home?
Are there safety risks during outings we should prepare for? (e.g., wandering, running away).
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Section 6: A Little Bit About You & What Brings You Joy!Why we love knowing this: We want to connect with you on a personal level, not just as a client. Knowing a bit about your life, your interests, or even your favorite footy team helps us match you with staff who share your passions, and gives us something great to chat about while we support you! Please use the space below to tell us a little bit about yourself. You might like to include your hobbies, what an ideal support shift looks like for you (e.g., grabbing a quiet coffee or staying in for a chat), and if there are any things you prefer to avoid (e.g., loud spaces, crowded cafes, or certain conversation topics).
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