Contact Us - Becoz We Care | Sutherland Shire NDIS & Aged Care Services

Section 1 Enquirer/Support Coordinator Details

Name *

Address

Phone Number *

Email *

Section 2 — Participant's Name and Address

Name *

Address

Phone Number

Email

Section 3 — What services do you want BeCoz We Care to provide?

Please tick the services you require and add a short description of what you need.

Access Community, Social and Recreational Activities (1:1)

Assistance with Self Care Activities

Yard Maintenance

Group Based Community Social and Recreational Activities (1:2)

Household Cleaning and other Household Activities

Section 4 — Participant's Information

Gender *

Over 18? *

Age of participant

Language spoken

Culturally and Linguistically Diverse?

Yes No

Aboriginal and Torres Strait Islander?

Yes No

Section 5 — Additional Comments

Section 6 — What is required in a support worker?

Gender

Age

Skills or experience

First aid training Mental health experience

Other skills or experience

Vaccinated

Please note that BeCoz We Care does not provide high intensity support services (such as bowel care, PEG feeding, ventilation, wound management, or injections). BeCoz We Care does not provide services to participants under the age of 18 years.

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