Support Matching Assessment Form

Use this form to match workers to the participant’s needs, preferences, choice and control. Confirm worker qualifications and current NDIS Worker Screening clearance via the Risk Assessed Role Register and Worker Screening Policy before allocation.

Participant’s name *

NDIS No.: *

Date *

Completed by *

Initial intake date *

Skills needed *

Workers who meet requirements *

Qualifications needed *

Workers who meet requirements *

Support needed *

Workers who meet requirements *

Support wanted *

Workers who meet requirements *

Personality characteristics needed *

Workers who meet requirements *

Interests *

Workers who meet requirements *

Preferred method of communication *

Workers who meet requirements *

This assessment is retained for a minimum of 7 years in accordance with NDIS record-keeping requirements.

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