Maintenance - The Sensory Store

The website is currently under maintenace while we work on improvements.

We should be back online for ordering from around 12 ~ 1pm

NDIS Order Form

NDIS Form

Complete and submit this form and then continue with your order.

Participant Details

Participant First Name *

Participant Last Name *

NDIS Number *

Date Of Birth *

Nominee Name *

Email *

Phone *

Participant Address *

Suburb *

State *

Postcode *

NDIS Plan

My NDIS Plan is: *

Is the support needed because of your disability? *

Yes

Will this support assist you in working towards your plan goals? *

Yes

*Refer to your NDIS plan for details.

Are the costs for this support considered to be value for money? *

Yes

Is the support considered to be effective, beneficial and good practice? *

Yes

Is this reasonable for your informal supports? *

Yes

(i.e. Family, Friend, Advocate etc.)

Is the NDIS the most suitable form of funding for this support? *

Yes

(i.e. Department of Health, Education, Veteran Affairs etc.)

*Please note, If the NDIA decides that the support you are receiving is not considered reasonable and necessary, you may be responsible for covering the costs using your personal funds.

Signature *

Clear

Plan Managers Name *

Plan Managers Email *

Plan Managers Phone *

I would like payment for this order to be taken from: *

Details of Person Submitting This Form

Full Name *

Email Address *

Terms & Conditions *

I agree to allow the Sensory Store, a registered business name of Nepean Area Disabilities Organisation (NADO) to process a claim for products as per my order.

This NDIS form constitutes a Service Agreement between the participant and the Sensory Store, a registered business name of Nepean Area Disabilities Organisation.

If you are human, leave this field blank.