Occupational Therapy

Metanoia Rays is now offering Occupational Therapy for Self Managed and Plan Managed NDIS participants.

Occupational Therapy or OT involves the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupations, of individuals.

To access our OT services please complete our referral form below.

Referral Request type (Select)

Date of Referral

Start Date of NDIS Plan

End Date of NDIS Plan

Participant Details

Participants Date of Birth

Preferred Pronoun

He/himShe/herThey/them

Diversity and cultural background

[checkbox Aboriginal descent use_label_element "Of Aboriginal descent" "Of Torres Strait Islander descent" "Of Aboriginal and Torres Strait Islander descent" "Not of Aboriginal and or Torres Strait Islander descent]

Interpreter Required

YesNo

Preferred method of Communication

Support Staff to Participant Ratio

1:11:21:3other (please describe)

Type of Funding

OT Home Visit Risk Assessment

Please complete accurately to ensure safety of our therapists entering the home of the participant.

1. Living Situation of the participant (alone, family, supported accomodation, etc)

2. Does the participant live in an isolated area?

3. Is there any issue for mobile phone coverage?

4. Are there any pets present? (Pets to be restrained at the time of assessment)

5. Does anyone at the property have a history of being aggressive/violent nature?

6. Does anyone at the property have a history of alcohol or illicit drug dependence?

7. Are there firearms in the home?

8. Does anyone at the property have an infectious disease?

9. Are there any other factor relating to the safety of our therapists entering the property?

Service Request

Summary of Participants Goals, Strengths, Concerns

Upload NDIS Plan pdf max 2mb

Guardian Details

Coordinator of Support / Representative details

Participant Signature

Participant Representative Signature