Which of the following best describes you?I'm an SDA recipientI'm the parent of an SDA recipientI'm the spouse or partner of an SDA recipientI'm a sibling of an NDIS recipientI'm an OT representing an NDIS recipientI'm a SIL provider representing an NDIS recipientI'm a care provider for an SDA recipientI'm a support coordinator working with an NDIS recipientDo you have NDIS funding approved? No Yes Do you have SDA funding approved? No Yes Which state do you live in?ACTNSWNTQLDSATASVICWAWould you like us to respond to you or another person representing you? MyselfMy RepresentativeTell us about your requirements?How would you prefer we contact you? Phone Email First NameLast NamePhoneEmailFirst nameLast nameEmailPhoneFirst nameLast nameEmailPhoneFirst nameLast nameEmailPhone First nameLast nameEmailPhoneFirst nameLast nameEmailPhoneFirst NameLast NameEmailPhoneFirst nameLast nameEmailPhoneDo they think they are eligible for SDA? No Yes SDA CategoryImproved LivabilityFull AccessibleRobustHigh SupportExpected Housing StyleApartmentHouseShared Living HomesTownhouseVillaExpected housing size - Number of Bedrooms2 Bedrooms3 Bedrooms4 Bedrooms5 BedroomsExpectations for Shared Living0 People1 Person2 People3 People4 People5 PeopleOn-site overnight assistance is required No Yes Site AreaZoningAmenity required - E.g close to trainHousing Plan No Yes NDIS Care Plan (SIL) No Yes Do they have an Occupational Therapist? No Yes Permission for BlueCHP to contact your OT? No Yes OT Referral Permission No Yes Additional ContributionsLandFamily Financial ContributionsCurrency Look up record Look for Currency Search Loading... Page 1 Add Cancel Remove Value
