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What’s Happening

Reflect Reconciliation – Action Plan

Our Commitment to Reconciliation

Change the Record

Reimagine Resources

Empowered RAP Artwork

Community Access

Support Coordination

Short Stays (Respite)

Group Activities

Specialist Support Coordination

Empowered Respite

Careers at Empowered

Coordinator of Supports

Eligibility Calculator

Easy To Access NDIS Referral

Easy to Access Referral Form

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Easy To Access Referral Form

Participant Details

First Name *

Last Name *

Phone Number

Email Address

Date of Birth *

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Services Requested

Community Access

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Group Activities

Support Coordination

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Relationship *

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Phone Number *

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(02) 4054 9286
admin@empoweredcs.com
Suite 101/286 Main Road
Cardiff, NSW, 2285

(02) 4054 9286
admin@empoweredcs.com
Suite 102/286 Main Road
Cardiff, NSW, 2285

0404 787 154
admin@empoweredcs.com
Suite 102/286 Main Road
Cardiff, NSW, 2285

Mental Health Statement of Coorporation

© Copyright 2020 Empowered Community Services | Terms and Conditions

Empowered Community Services Pty Ltd
ACN: 634 541 076 | NDIS Provider Number: 4050060444

Current Capacity

WE HAVE CAPACITY !

Community Access & Capacity Building

0 Hours

Support Coordination

0 Participants

Specialist Support Coordination

0 Participants

School Leavers Employment Program

0 Participants

Make a Referral

Referral Form

Referral Form

Participant Details

First Name *

Last Name *

NDIS Number

Phone Number

Email Address

Plan Start Date

Plan End Date

Date of Birth *

Gender *

Male

Female

Other

Does the participant identify as Aboriginal or Torres Strait Islander? *

Yes

No

Participant Address

Participant Information

What is the participants primary disability? *

Reason for referral

Introduction to the Participant

Services Requested by the Participant

Community Access

Short Term Accomodation (holidays)

Group Activities

Support Coordination

Specialist Support Coordination

Are there any known safety concerns or potential risks that we should be aware of before proceeding with support for the Participant? *

Yes

No

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Referral Completed By

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Email *

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Holiday Brochure

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Disability Expo

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Team Leaders

Participants receiving Community Access and Capacity Building Supports will be assigned a Team Leader. Our Team Leaders can help with tracking participant goals, developing strategies to assist with support, communicating strategies with staff, and developing reports progress reports. Team Leaders will be charged under the Non-face-to-face line item as necessary.

Establishment Fee

Participants with more than 20 hours of support per month may be charged an establishment fee when entering the service.

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