This form helps us provide safe and personalised care for clients with complex needs. It takes about 8 to 10 minutes and covers consent, NDIS plan detail, support team, and any specific accessibility or communication needs.
We need to know who can legally consent to care, treatment, information sharing, and administrative arrangements for this client. Next of kin is not always the legal decision-maker.
An enduring power of attorney does not authorise medical or treatment decisions in most Australian jurisdictions. If the client cannot consent themselves and you are unsure who can, please select Unsure and we will clarify before services proceed.
If the client has NDIS funding, please share the relevant plan details below. Continuum Health Group Pty Ltd is a registered NDIS provider (Registration ID 4-M39ECWP) for Therapeutic Supports, which covers our psychology and dietetics for participants aged 18 and over. Oral health consultations are private pay and are not funded by the NDIS. We can see agency managed, plan managed and self managed participants.
These contacts help us coordinate care and ensure invoices reach the right person.
If a clinician, GP, allied health professional, or service has referred this client to Continuum, please share their details so we can keep them informed.
These details help our clinicians prepare appointments that are accessible, comfortable, and respectful of the client's needs.
