Who is the home modification for? *

Me

My child

A family member

A participant I support professionally

Other

What best describes the reason your reaching out? *

Safer access in and around the home

Bathroom or toilet modifications

Bedroom or living area access

Entry / exit access

General mobility and safety concerns at home

We’ve been told OT input may be needed

Not sure yet

What is the main goal of the home modifications? *

Improve safety

Make daily tasks easier

Improve access around the home

Support greater independence

Reduce risk of falls or injury

Not sure

What stage are you at right now? *

We know modifications are needed

We want OT advice before making decisions

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

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

As soon as possible (within 1-2 days)

Next couple of weeks

Appointment Location (Or Nearest Too) *

Gold Coast

Brisbane

Full Name *

Email *

Phone *