NDIS Plan Agency ManagedPlan ManagedSelf-Managed
Type of Referral Self-ReferralOrganisational Referral
TitleMrMrsMiss
GenderMaleFemaleNon-BinaryPrefer not to say
Preferred PronounsHe/HimShe/HerThey/Them
Indigenous StatusAboriginalTorres Strait IslanderBothNeither
Communication Skills - EnglishVery WellGoodPoorNon-VerbalInterpreter Required
AsthmaYesNo
DiabetesType 1Type 2No
Epilepsy/SeizuresYesNo
EPI PenYesNo
DVA Card TypeGoldOrangeWhiteNA
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