• Consent to Share Information

  • Participant Consent for use and Disclosure of Personal Information

  • We collect information about you for the primary purpose of providing quality supports and
    services to you. We need to collect some personal information from you to ensure our
    services meet your needs. If you do not provide this information, we may be unable to fully
    provide these services. This information will also be used for;

    • Administrative purposes for running our service
    • Billing you directly, through the NDIS, or another agency if required
    • Use within our service to ensure you are provided with quality supports and services
    • Disclosure of information to the NDIA, the NDIS Quality and Safeguards Commission,
    or other government agencies if needed
    • Disclosure of information to health professionals to ensure high quality health care for
    you if needed
    • Disclosure to other providers, with your consent, to provide appropriate services

    My Care Plan Manager is required to disclose some or all this information to NDIS and/or to
    another organisation. My Care Plan Manager may also disclose your personal information
    to another service provider if you commence working with another service provider.
    Disclosure to other government departments, government authorities and researchers may
    also occur for the purpose of ensuring that you are provided with good quality services and
    assistance. If you are a NDIS participant, your personal information may be used to give you
    the services and/or payments that you need.

  • Declaration

  • I, ( with NDIS Number and address

  • • Have read the above information and understand the reasons for the collection of my
    personal information and the ways in which the information may be used and
    disclosed and I agree to that use and disclosure.
    • Understand that this consent is valid only for the time specified.