Who is this Occupational Therapy support for? *

Me

My Child

A family member

A participant I support professionally

Other

What best describes the reason you're needing a Ot? *

Daily living skills and independence

Functional support at home

Community access or participation

Support with routines or everyday tasks

Mobility or safety concerns

We’ve been told OT input may help

Not sure yet

What is the main goal of support right now? *

Improve independence

Improve safety

Make daily tasks easier

Support participation at home or in the community

Better understand what OT support is needed

Not sure

Stage you are at right now? *

We know OT support is needed

We want guidance on the right next step

We are exploring options

We have been asked to get OT input

Not sure

Ndis Funding Type *

Plan Managed

Self Managed

NDIA-managed (agency-managed)

Privately Funded

Not sure / need help checking

Appointment Location (Or Nearest Too) *

Gold Coast

Brisbane

How Soon would you like to get Support in Place? *

As soon as possible (within 1-2 days)

Next couple of weeks

Full Name *

Email *

Phone *