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NDIS Order Form

NDIS Form

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

Participant Details

NDIS Plan

Is the support needed because of your disability?
Will this support assist you in working towards your plan goals?
*Refer to your NDIS plan for details.
Are the costs for this support considered to be value for money?
Is the support considered to be effective, beneficial and good practice?
Is this reasonable for your informal supports?
(i.e. Family, Friend, Advocate etc.)
Is the NDIS the most suitable form of funding for this support?
(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.
I would like payment for this order to be taken from:

Details of Person Submitting This Form

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