Expressions of Interest Form

This Expression of Interest is to assist Verity Care Services, in gathering all the information required to adequately assess your referral for Supported Independent Living (SIL), Community Access, Individual Living Options (ILO) and Short Term/ Medium Term Accommodation support (Respite Care), Home Care. Before completing this document, please ensure that you have the consent to share information if you are completing this expression of interest on someone’s behalf.

You can also ask for and receive support to complete this EOI.
Our intake team will process your expression as quickly as possible and ask for more information where needed.

Feel free to ask us any questions along the way, don’t hesitate to contact our administrator on 02 6193 3192 or [email protected].

Important Information

What happens next?

VCS staff will be in touch to confirm your expression of interest has been received and advise of the details for the next step.
VCS will process your EOI and assess its capacity to provide the supports you have requested and will let you know the outcome in writing;
Our intake team may ask you to provide additional information or take further action to support your expression of interest.

If we confirm that we can likely meet your support request, we will seek to make further arrangements with you and your support network.

These arrangements may include:

Meeting in person and discussing your request in more detail as pertaining to person centred supports;
Gaining your consent to speak further with people involved in your care;
Inviting you to come and view a home or location;
Introducing you to more of our team and any other people who you might be around if you start receiving supports from us; and
Working with you to develop a transition plan or possible timelines to start receiving support.

When can I come and stay or move in?

We will need to work together before you can stay short term or move in.

We will work together to:

Complete the Expression of Interest, with any available documents attached;
Make sure everyone approves, and gives consent (including guardians if appointed);
Talk about the Service Agreement making sure we agree on details, rights and responsibilities;
Receive formal approval (in writing) from the National Disability Insurance Agency (NDIA) as well as any other funding bodies involved in your care (such as Department of Community Services and icare); and
Sign and complete the Service Agreement, arranging the date for your first stay in the processes.

Participant Details

Support Level

Specific Considerations

Has the participant had any documented incidents of physical violence or property damage in the last 12 months?

Are there any regulated restrictive practices in place of the participant? Or are there any restrictions likely to need to be implemented?

Supporting Documents

Occupational Therapy Report

Behaviour Support Plans

Psychiatrist Assessment

Incident reports, registers and/or summaries

Speech Pathology Reports

NDIS Participant Plan

Any other relevant clinic assessments or reports

Budgets, routines, schedules & client calendars

Risk assessments and/or management plans

Emergency Services reports (incl. police)

Statements or consent to consult with previous providers

Community Treatment Orders (CTO), bail conditions or court orders

Details Of Person Completing This Form

Verity Care Services Internal Approval

Service has capacity to approve application