Onboarding Form

Welcome!

We’re so glad you’re here. At St Anthony’s Family Care, we’re all about creating a safe, inclusive, and supportive space for young people and their families. This form helps us get to know you better, so we can tailor our support to your strengths, needs, and what matters most to you.

There’s no rush — you can save your progress at any time and come back to finish it later when it suits you. If you need help filling out the form, we’re here for you. Just reach out and we’ll support you however we can.

Let’s get started!

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Step 1 of 12

Participant - Details

Name*

First Middle Last

Preferred Name

Birth Sex*

Gender*

Preferred Pronoun(s)*

Other Pronoun(s)

Date of Birth*

Day

Month

Year

Upload Photo

Max. file size: 128 MB.

Critical Medical Information

Impairment

Neurological

Intellectual

Physical

Cognitive

Psychological

Sensory

Diagnosis

Diagnosis	More Details	Actions

There are no Diagnosis.

Maximum number of diagnosis reached.

Clinical Diagnosis*

Allergies

Yes

Please provide more details:

Please upload an allergy action plan*

Drop files here or

Max. file size: 128 MB.

Asthma

Yes

Please provide more details:

Please Upload an asthma action plan*

Drop files here or

Max. file size: 128 MB.

Diabetes

Yes

Please provide more details:

Please upload a diabetes action plan*

Drop files here or

Max. file size: 128 MB.

EPI Pen

Yes

Please provide more details:

Please upload an EPI Pen action plan*

Drop files here or

Max. file size: 128 MB.

Medication

Yes

Please provide more details:

NOTE: A separate Medication form will be required to be completed

Epilepsy

Yes

Please provide more details:

Please upload an epilepsy action plan*

Drop files here or

Max. file size: 128 MB.

Anaphylaxis

Yes

Please provide more details:

Please upload an epilepsy action plan*

Drop files here or

Max. file size: 128 MB.

Participant - About me

Height (cm)

Weight (kg)

Eyes colour

Hair Colour

Identifying features (e.g. wear glasses)

Contact Details

Email*

Contact Number*

Mobile Number*

Address

Street Address City State Post Code

Mailing Address is the same as above

Yes

Mailing Address

Street Address City State Post Code

Participant - Culture Language Religion

Culturally and Linguistically Diverse Background

Yes

Country of Birth

Australia

Other

Country of Birth

Ethnicity

Languages Spoken

Interpreter

Yes

Indigenous Status

Not Aboriginal and Torres Strait Islander

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

Indigenous Country/Nation

Religion

Religious and Cultural Practices

Yes

Please provide more information

Legal Orders and Authorities

Is there a legal order in place?

Yes

Order Type*

Other (please specify)

Order Summary

Please attach any legal orders in place*

Drop files here or

Max. file size: 128 MB.

Cards, Concessions and IDs

Participants NDIS number

Companion Card

Yes

Companion Card Number

Upload a photo of the Companion Card*

Max. file size: 128 MB.

Medicare Card Number

About My Primary Career

Name*

First Last

Date of Birth*

Day

Month

Year

Relationship to Client

Phone*

Work Number

Email*

Address

Street Address City State Post Code

Indigenous Status

Not Aboriginal and Torres Strait Islander

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

Indigenous Country/Nation

About My Secondary Carer

Name

First Last

Date of Birth

Month

Day

Year

Relationship to Client

Phone

Work Number

Address

Street Address City State Post Code

Indigenous Status

Not Aboriginal and Torres Strait Islander

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

Indigenous Country/Nation

Emergency Contact and Authorised Person

In the event of an emergency, if we are unable to contact you, who will be contacted to act on your behalf in an emergency. At least one contact must be provided.

Name

Relationship to Client

Phone

Work Number

Address

Indigenous Status

Not Aboriginal and Torres Strait Islander

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

Indigenous Country/Nation

Other Contacts

Please list all important contacts such as general practitioner, occupational therapist, support coordinator etc.

To meet privacy requirements, consent is needed when a participant asks a third party to advocate or make enquiries on their behalf.

Only the necessary information will be shared to respond to the concern.
Some information cannot be released (e.g. details about other individuals, legally privileged records, active investigations, or anything that may impact someone’s safety or wellbeing).
A new consent form will be required for any future, unrelated enquiries by the same third party.

Contact Details

Contact Type	More details	Contact name	Name of company/school/organisation	Phone	Work Number	Email	Address	Actions

There are no Contacts.

Maximum number of contacts reached.

Use of Media

I give full permission for my photos and videos to be taken, used, and shared for purposes such as promotional materials, social media, publications, StoryPark (internal family communication), therapeutic purposes and reports. I understand that this may include print and digital formats.

Yes

Give the organisation authority to use photographs and videos for therapeutic purposes

Give the organisation authority to use photographs and videos for marketing purposes

Give the organisation authority to use photographs and videos for the SAFC internal family communication and engagement platform (StoryPark)

Consent

I give authority for...*

I give authority for the organisation; to collect, store, use and disclose personal and sensitive information, including health records, for the primary purpose of service provision and directly related needs in accordance with the Privacy Amend¬ment (Enhancing Privacy Protection) Act 2012 (Cth) whilst I/we remain a participant of this organisation. If my/our circumstances change I agree to notify St Anthony’s Family Care as soon as practicable.*

I understand that...*

I understand that this may include personal information under the Freedom of Information and Protection of Privacy Act and personal health information under the Health Information Protection Act.*

I also understand that...*

I also understand that only the minimum necessary information will be shared to address my concern, in accordance with the limitations and protections set out in these Acts.*

Collection and Use of Personal Information - terms and conditions.

I confirm that:*

I confirm that the information provided in this form is true and correct to the best of my knowledge. I understand this form may be completed on behalf of the person named above.*

Name of person completing the form*

Full Name

Relationship to participant*

Date*

Day

Month

Year

Signature*

Onboarding Form

Participant - Details

Critical Medical Information

Participant - About me

Contact Details

Participant - Culture Language Religion

Legal Orders and Authorities

Cards, Concessions and IDs

About My Primary Career

About My Secondary Carer

Emergency Contact and Authorised Person

Other Contacts

Use of Media

Consent

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