Participant Intake Form

1. Participant Details

What services you require from us?
MM slash DD slash YYYY
MM slash DD slash YYYY
Gender(Required)

Contact details

Interpreter required(Required)
Preferred option for communication(Required)
Do you identify as Aboriginal and Torres Strait Islander?(Required)
Residential Address(Required)
Is there a Guardianship and/or Administration order in place?(Required)

2. Disability / Medical Conditions

Disability / Medical Conditions including any diagnosis if relevant.

3. Funding

Funding Source(Required)

4. Preferences

5. Goals and Aspirations

I understand that:

How did you hear about us?(Required)
Information(Required)
Information(Required)
Information(Required)

Your Trusted NDIS Service Provider

We Provide the Best Disability Support and NDIS

We recognise that everyone is unique. We design all our disability support services in close consultation with you – so that we can support you in doing things that matter most to you or your loved one.

An integrated community where everyone has the right and opportunity to be their best self.

An integrated community where everyone has the right and opportunity to be their best self.

To empower, encourage and support NDIS participants to have a great life and achieve their goals.

What We Stand For

At uCare iCare we commit to being compassionate, respectful, responsible, fair and understanding whilst we deliver our services to you the way that you want.

Management Team

Saeed Ghobadi (Director)

Founder and Director of uCare iCare, Saeed is passionate about delivering a high quality, Evidence based, allied health and nursing practice to services entire Melbourne. Saeed has A lifelong love of learning and enjoys sharing his knowledge and skills and is passionate about empowering others.

With a Bachelor of Nursing, Saeed brings many years of clinical and theoretical experience to Team. Saeed has worked across multiple settings, including community health, Aged care, hospitals and the disability sector. This broad experience provides a strong foundation of skills to ensure high quality service delivery across the team.

Farzaneh Tahmasbi (Fran)

Fran has always had a love of working with children and adolescence and holds a Master of Architecture Degree as well as a Bachelor of Graphic Design and has previous experience working in retail management and customer service.

Fran is passionate about supporting you and enjoys interacting with families throughout the week. Fran manages billing and administrative procedures for uCare iCare and may interact with her regarding appointments, and payment and funding related enquiries including the NDIS, Medicare and your private health insurance.