Getting Started with TWCI

Three 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) 8252 5555.

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) 8252 5555.

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. Most of it is tap to choose. Only the questions marked with a dot are needed, so if you do not know something yet, leave it and we will fill it in together. It takes about ten minutes.

Stuck on anything? Call the hub on (08) 8252 5555 and we will fill it in with you.

Step 1 of 9About you

1. About you

The person filling this in, so we know who to talk to while we get things set up.

Your name•

Your relationship to the participant•

Your email•

Your phone•

Best way to contact you

How did you hear about us?•

2. The participant

The person who will be working with us. If that is you, these are your details.

First name•

Last name•

Preferred name

Date of birth•

Their phone

Their email

Pronouns

Street address

Suburb•

Postcode

Closest TWCI service area

Who do they live with?

Emergency contact

Name•

Phone•

Relationship

3. NDIS, supports and goals

So we can check the funding fits and match the right supports.

NDIS number

Plan start date

Plan end date

How is the plan managed?

Any other funding in place?

Supports you are after

How soon do you want to start?

NDIS goals• Up to three, in your own words. Copy them from the plan if that is easier.

Goal 1•

Goal 2

Goal 3

Currently attending

Centrelink benefit

Employment services provider and JSID

4. About them

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

Strengths•

Diagnosis or disability• Up to four.

Communication that works

Mobility

Communication or mobility aids

What helps them settle

5. Health and safety

Quick facts our team needs before the first session.

Do they take any medication?

Any allergies?

Carries an EpiPen?

Able to swim?

Sunscreen allergy?

If yes, please bring your own sunscreen to activities.

Alerts our team must see

Anything here that applies?

6. Tell us how to best support them

Tick everything that applies. No judgement: this tells our team how to get it right early. Each tick opens a line for what helps, if you want to add it.

Behaviours of concern Only if they apply. Describe them in plain words, without blame.

What helps most•

7. Safety, care team and documents

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

Is a Behaviour Support Plan (BSP) in place?

Anything here that applies?

Anyone else in their care team? Support coordinator, GP, therapists, school.

Other documents that help Reports, plans, assessments. PDF or Word, up to 5 MB each.Choose files

Anything else you want us to know

8. Days and times

Tap the times that usually work. We use this to match the right mentor and times.

Best days and times

Mentor preference

Keep the same mentor where possible?

Pick up address

Interests, hobbies and things they love

9. 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

Ask a question or request a call back

Ask a question or request a call back

Your details

What is it about?

Referral to TWCI

About you

Who are you referring?

NDIS plan

What are they looking for?

Behaviour support and restrictions

Consent

TWCI Intake Form

1. About you

2. The participant

3. NDIS, supports and goals

4. About them

5. Health and safety

6. Tell us how to best support them

7. Safety, care team and documents

8. Days and times

9. Consent and declaration