Participant Information Form

Welcome to Aspect Therapy!

Once we have received this completed form, we will be in contact within 3 weeks, to confirm that you are on our waitlist for the services you are requesting.

We will keep in touch with you via email or SMS so that our waitlists are up to date.

If you any questions regarding this form, please call us on: 1800 277 328 or email:

Participant Details - the person who will receive the supports

Participant Living Arrangements

Enquirer Details

Please provide mobile # as we send text messages to participants to shorten our waitlists

Reason For Referral

Please note:  Aspect Therapy does not offer Functional Capacity Assessments for Supported Independent Living (SIL) or Specialist Disability Accommodation (SDA) purposes. Unfortunately, we are not able to provide this assessment via teletherapy at this time as we need to be able to meet the participant in person to appropriately complete the assessment.

Please Note : Our therapist are required to complete observations as a part of a Functional Capacity Assessment. We cannot complete the assessment at this time if clinical observations are not conducted.

Medical information

Paying for therapy

Information about our current Therapy Service fees is available  HERE

NDIS Details

Behaviour Support

Keeping Everyone Safe

We kindly ask that you keep animals out of the therapy space whilst the sessions are in progress

We kindly ask that you refrain from smoking/vaping when our staff are present in your home.

Other information about your supports

This information is being collected for the purpose of determining service eligibility/provision and will be handled in accordance with Aspect’s Privacy of Personal Information and Data policy

Thank you for your time in completing this form.

For information on any other services from Aspect please call 1800 ASPECT (1800 277 328)