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Home/Therapy intake

Health in Context

NDIS & individual therapy intake

An initial request for occupational therapy, physiotherapy or allied health assistant support. For children and adults, using NDIS or individual funding.

You do not need a diagnosis to get started. Please leave out clinical records, NDIS or Medicare numbers and financial documents.

  1. 1 About the person
  2. 2 Support needed
  3. 3 Contact and funding
  4. 4 Review and consent

Questions marked optional can be left blank. We do not save a draft. Your answers stay in this tab until you submit or close it.

About the person

Use the name you want us to use for this first contact. A first name or pseudonym is fine for an initial enquiry where practical.

We will discuss consent and any decision making support before care begins, including the wishes and understanding of a child or young person.

What support would help?

Choose one or more services

We will confirm practitioner availability, suitability and any waiting period before arranging care. Allied health assistants provide practical support delegated and supervised by treating clinicians.

A short description is enough, such as daily routines, getting out in the community or an assessment for a plan review. Please leave detailed medical information out.

For example, a plan review date. We will confirm whether we can meet it.

Contact and funding

Give the details of the person we should contact first. They need to know about this intake and agree to being contacted.

For example, participant, parent or support coordinator.

Provide the detail needed for your chosen contact method. We will not call unless you choose a phone call or agree to one later. No video call is required for this enquiry.

For example, an interpreter, written communication, a support person or suitable times.

We will confirm fees and any funding or rebate eligibility before care begins. Submitting this form does not guarantee coverage or authorise a payment.

Organisation name only. Please do not include plan numbers, balances or bank details.

Review and consent

Please check the details below before sending.

How we use your intake

In Context Pty Ltd (ABN 54 700 208 920) collects these details to review your request, check service suitability and contact the person you nominate. We record your answers, consent, the notice version and the submission date. This is an initial intake, not a clinical assessment or an agreement to treatment.

Your answers are stored in our private website database. Access is restricted to the authorised site owner. A notification is sent to info@incontext.au with a reference and a sign-in link; your answers are not included in that email. Our website uses OpenAI Sites and Cloudflare, and notifications use Resend. These providers may process information outside Australia.

This form does not subscribe you to marketing or give blanket permission to share your information with other providers. We will discuss any further information sharing with you, unless disclosure is required or permitted by law.

Optional questions can be left blank. We need the required contact details and consent to respond through this form. You can use a first name or pseudonym for an initial enquiry where practical; we will explain if further identification is needed before providing care. For help or another way to enquire, email info@incontext.au or call 1300 952 474.

To request access or corrections, withdraw consent for future contact, discuss deletion or make a privacy complaint, contact info@incontext.au. Some information may need to be retained by law. Read our privacy policy.

Being a family member, nominee or support coordinator does not automatically give someone authority to consent to health care. If you are unsure, contact us before submitting.

Step 1 of 4

Intake received

Thank you.
We have your intake.

We will review the details and use your chosen contact method to discuss suitability, availability and next steps.

Your reference is . Please keep it for your records.

This confirms receipt only, not an appointment or funding approval. We do not email your answers back to you. If you need to follow up, email info@incontext.au and quote your reference.

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Need help completing the form?
info@incontext.au
1300 952 474

This form is not monitored for urgent help. In an emergency, call 000.

In Context logo with a rose gold four point star and arc™

In Context Pty Ltd
ABN 54 700 208 920
info@incontext.au · 1300 952 474

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Acknowledgement of Country

In Context acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the lands and waters where we live and work. We honour their enduring relationships with Country, culture and community, and pay our respects to Elders past and present.

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