Getting Started with TWCI

Two ways in. Choose the one that fits and we will take it from there. Everything comes straight through to our intake team and one of our superstars will be in touch via your preferred contact method within 24hrs.

Prefer to talk it through first? Call the hub on (08) 8164 6991.

Referral to TWCI

For Support Coordinators, allied health professionals, schools and NDIS partners referring someone to Together We Can. It takes about three minutes. Everything you send comes straight through to our intake team and one of our superstars will be in touch via your preferred contact method within 24hrs.

Prefer to talk it through first? Call the hub on (08) 8164 6991.

Fields marked with a dot are the only ones we really need. Leave anything else blank.

About you

So we know who to talk to about this referral and who to keep updated.

Your name•

Organisation•

Your email•

Your phone

Your role

How did you hear about us?•

Helps us understand what is actually bringing people to TWCI.

Who are you referring?

Give us what you have. Anything left blank we will follow up with you.

First name•

Last name•

Date of birth

Suburb

Their phone

Their email

Closest TWCI service area

NDIS plan

Helps us check the funding fits before we make contact.

NDIS number

How is the plan managed?

Plan start date

Plan end date

What are they looking for?

Choose everything that applies. If you are not sure, pick "Not sure yet" and tell us below.

Tell us about the referral•

How soon do they need to start?

Behaviour support and restrictions

So we can plan the right supports and make sure everyone stays safe from the first shift.

Is a Behaviour Support Plan in place?

Are there any restrictive practices?

If yes, please tell us what they are

Anything else we need to know

Consent

TWCI uses these details only to make contact and work out whether we are the right fit. Information is stored securely and in line with the NDIS Practice Standards and the Australian Privacy Principles.

Company website

TWCI Intake Form

This is how we get to know you before we start. The more you tell us, the better we can match the right people and the right supports from day one. It takes about ten minutes. Only the fields marked with a dot are required, so if you do not know something yet, leave it and we will pick it up together.

Stuck on anything? Call the hub on (08) 8164 6991 and we will fill it in with you.

Fields marked with a dot are required. Everything else is optional.

Who is filling this in?

So we know who to contact while we get things set up.

Your name•

Your relationship to the participant•

Your email•

Your phone•

How did you hear about us?•

Participant details

The person who will be working with us.

First name•

Last name•

Preferred name

Date of birth•

Pronouns

Gender identity

Their phone

Their email

Street address

Suburb•

Postcode

Closest TWCI service area

Best way to contact them

Who do they live with?

Emergency contacts

Two if you can. We only use these if something happens while they are with us.

Emergency contact name•

Phone•

Relationship

Second emergency contact

Name

Phone

Relationship

NDIS and funding

So invoicing and plan checks are sorted before the first session.

NDIS number

How is the plan managed?

Plan start date

Plan end date

Plan manager

Plan manager email for invoices

Support Coordinator

Support Coordinator contact

Any other funding in place?

Other supports or providers already in place

What support are you after?

Choose everything that applies. If you are not sure, pick "Not sure yet" and tell us below.

NDIS goals•

What would success look like?•

How soon do you want to start?

About the participant

We lead with strengths. Tell us who they are before you tell us what they need.

Strengths•

Interests, hobbies and things they love

Primary diagnosis or disability•

Secondary diagnosis

Anything else about their health we should know

Allied health or specialists involved

Currently attending

What does that look like?

Centrelink benefit

Employment services provider and JSID

Needs and preferences

What makes a good day, and what makes a hard one.

Physical, emotional, cultural and social needs•

Health or medical needs our team must know about

Health and safety

Quick facts our team needs before the first shift.

Do they take any medication?

Able to swim?

Carries an EpiPen?

Sunscreen allergy?

If yes, please bring your own sunscreen to social activities.

Medications, dose and frequency

Allergies

Anything here that applies?

Communication and mobility

So we turn up ready and communicate the way they prefer.

Mobility

Preferred way to communicate

Communication or mobility aids we should know about

Daily support needs

Only tick what applies. No judgement, this just tells us how to support well.

Tell us more about anything ticked above

Social, sensory and emotional

Again, only tick what applies. This is the part that helps our mentors get it right early.

Early signs that things are building up

Known triggers

What actually helps•

Behaviour support and risk

Full disclosure keeps everyone safe and means we can plan properly. Nothing here stops someone joining TWCI.

Is a Behaviour Support Plan in place?

Are there any restrictive practices?

If yes, tell us what they are

Has a worker or professional ever been at risk, threatened or assaulted?

Is anyone in the home violent, or are there weapons on the premises?

Any third-party involvement, court orders or restrictions?

OPA, DCP, guardianship, curfew, parole, good behaviour bond.

Any other safety factors for staff attending the home?

If you answered yes to any of the above, please tell us more

Anything else you want us to know

Consent and declaration

By submitting this form you authorise Together We Can International Pty Ltd (TWCI) to exchange relevant information with current and previous providers, support coordinators, plan managers, guardians, the NDIA, health services and, where necessary to prevent a threat to life, health or welfare, emergency and child protection services. Consent is valid for twelve months. Your information is handled in line with the NDIS Code of Conduct and the Australian Privacy Act 1988 and is protected from misuse, loss and unauthorised access.

Information sharing consent•

Photos and video

We sometimes photograph activities for shift notes, family updates and TWCI marketing. You can change your mind at any time.

Declaration•

Type your full name as your signature•

Date

Company website

Getting Started with TWCI

Make a referral

Register with us

Referral to TWCI

About you

Who are you referring?

NDIS plan

What are they looking for?

Behaviour support and restrictions

Consent

TWCI Intake Form

Who is filling this in?

Participant details

Emergency contacts

NDIS and funding

What support are you after?

About the participant

Needs and preferences

Health and safety

Communication and mobility

Daily support needs

Social, sensory and emotional

Behaviour support and risk

Consent and declaration