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)

Accommodation

Located in the northern suburbs of Melbourne, Victoria, we offer short-term and long-term accommodation to match your individual needs. Our NDIS-funded accommodation services empower people with a disability to live as independently as possible, while also providing them with an opportunity to live on their own terms.

Our renovated 4-bedroom home can accommodate four individuals, featuring four bedrooms and four bathrooms (two with en-suites).

Please note that cleaning will be completed following COVID-19 requirements.

Our Accommodation Vacancies

Lalor

Lalor, VIC 3075

3

2

A New Way to Experience Modern Comfort and Fun

Discover comfort, convenience, and a sense of belonging at our fully renovated and fully furnished respite home. We’ve crafted a tranquil haven where every detail is designed to make your stay exceptional. Step into our outdoor backyard for fun and relaxation. Engage in games and sports, soak up the sun, or simply enjoy the fresh air, all within a 2-minute stroll from Lalor Train Station.

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Romeo

Lalor, VIC 3075

3

3

Your New Home Away from Home

Step into modern comfort at our three-bedroom, two-bathroom (one en-suite) respite home, thoughtfully designed to provide a peaceful and welcoming environment. Stay seamlessly connected with high-speed internet and Wi-Fi. Discover serenity in our spacious backyard – a haven for leisure and BBQ gatherings. Whether you’re basking in the sun, relishing a barbie feast, or simply unwinding amidst nature, our outdoor space is yours to enjoy.

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Garden View

Garden View, VIC, 3082

4

4

Fun for Four or More

Discover the epitome of modern comfort in our meticulously designed four-bedroom, four-bathroom (two en-suite) respite home. We’ve created a space where relaxation and convenience harmonise, with seamless connectivity through high-speed internet and Wi-Fi and a spacious backyard. Whether you seek the tranquillity of the outdoors or the quiet peace indoors, the area is yours to relish.

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Types of NDIS Accommodation Supports

We understand the importance of living in a space where you can safely access and move around comfortably, a place you can call home. Our experienced team creates a safe and relaxed environment for you to build independence with peace of mind.

Supported Independent Living (SIL) – Suitable for individuals with higher support needs who require significant assistance for personal care and skill development to live as independently as possible.

Short Term Accommodation (STA) – Also known as respite care, it is suitable for you and your carer to take a short break from home, make new friends, and explore new activities.

Medium Term Accommodation (MTA) – Suitable for individuals who are looking for a temporary stay while waiting for their long-term housing option to be ready.

We Ensure You Receive the Best Care

Our dedicated support workers provide high-quality NDIS support to assist you in building your independence, while still maintaining your freedom of choice. At uCare iCare, you will receive quality care including:

Day-to-day Support

Daily assistance with personal care and household tasks.

Accessibility

Safe and fully accessible bedrooms and bathrooms catering to your needs.

Personal Space

Private and comfortable space for your “ME-time”.

Skill Building Activities

Build your independence and participate in the community through activities and programmes.

Four Easy Steps to Find Your New Home with uCare iCare

STEP 1 – Get in Touch

Contact us and our support team will guide you through the process.

STEP 2 – Visit Our Homes

Visit with your carers to determine whether our home support is the right fit for you

STEP 3 – Easy Transition

Collaborate with your support networks to ensure a smooth transition into your new home.

STEP 4 – Move-In

All set and ready to move into your new home and kickstart your independence journey.