Psychologist

Psychiatrist

Cultural identity

@if(env('IS_LC_PORTAL', 0) != 1)

Religion

@endif

Restrictive Practise

Yes No

Funding Level : Total Hours

Funding Level : Amount

Service Type(Where applicable)

Reason for referral

Current Accommodation Type

Single Occupancy Multiple Occupancy

Future Housing Needs

Service History

General Health Stability

Does Participant have an approved NDIS Plan?

@foreach (['Yes','No','Awaiting decision from NDIS'] as $dnp) {{$dnp}} @endforeach

NDIS Plan period

NDIS Funding Management

@foreach (['Agency managed','Plan managed','Self managed','Not Applicable'] as $nfm) {{$nfm}} @endforeach

If plan managed (please provide the details of the plan manager)

Available Core supports budget