86 Hotham St , Melbourne, Victoria

Enable Ease Care Support Services

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Personal Details

Full Name *

Email Address

Phone *

Plan Start Date *

Plan End Date *

Street Address *

NDIS Information

NDIS Number *

Select *

Date *

Emergency Contacts

Emergency Contact Name *

Relationship to Participant

Phone *

Emergency Contact Email Address *

Health Information

Primary Disability *

Other Health Conditions or Disabilities

Information on Mobility Aids or Equipment Used

Allergies or Medical Conditions

Service Requirements

Select *

Date *

Intended weekly hours of support? *

Hours

Minutes

Specific Goals or Outcomes Expected from the Service

Consent and PreferencesConsent for ServicesPrivacy Policy AcknowledgementConsent for Sharing Information with Necessary Third PartiesLanguage PreferencesCultural ConsiderationsAdditional Instructions or Preferences

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About Us

At Enable Ease, we believe every person deserves to feel respected, understood and supported. We provide person-centred disability support to NDIS participants across Melbourne, working closely with individuals and families to understand their needs, goals and preferences.

Contact Us

+61 422 854 814
info@enableeasecare.com.au
86 Hotham St, Melbourne, VIC, Australia, 3072

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Acknowledgement of Country

Enable Ease Care acknowledges the Traditional Custodians of the land on which we live, work and support our community. We pay our respects to Elders past and present, and recognise the continuing connection to Country, culture and community.

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Enable Ease Care Support Services

Home
About Us
Speech Therapy
Services
Contact Us
Referral Form