NDIS Participant Intake Form: Key Points
- Intake forms gather comprehensive information about participants including personal details, NDIS plan information, support needs, and preferences.
- Thorough intake assessments ensure services are tailored to individual needs, communication styles, and cultural requirements.
- Intake forms must include consent for information sharing, privacy acknowledgments, and emergency contact details.
- Well-completed intake forms provide the foundation for service agreements, risk assessments, and personalized support delivery.
Download Our Free NDIS Participant Intake Form
We’ve created a comprehensive intake form that captures all essential participant information:
Download NDIS Participant Intake Form (DOCX)
This template includes:
- Personal details (name, NDIS number, contact information)
- Emergency contacts section (two contacts with full details)
- NDIS plan details (dates, management type, plan manager)
- Disability and health information
- Communication and cultural needs assessment
- Support needs evaluation across 12 activity domains
- Services requested checklist
- Participant goals section
- Support preferences (gender, language, timing)
- Risk factors and safety considerations
- Consent and privacy acknowledgments
- Participant and provider signatures
Summary
Participant intake forms are the foundation of person-centered service delivery. Comprehensive intake ensures supports are tailored to individual needs, preferences, and goals from day one.