Strivesocial: Participant Induction Checklist
Participant name:
Representative name: (if applicable)
Worker name:
Document
Date completed / Worker responsible
Prior to Agreement (Section 5.2 of Assessment and Provision of Supports Policy)
☐ Participant Intake Form
☐ Participant Information Booklet
☐ Participant Information Booklet (Easy Read)
☐ Advocate or Support Person Request Form
☐ Feedback and Complaints Form
☐ Feedback and Complaints Summary
☐ Privacy Consent Form
___/___/___
By:
Agreement
(Section 5.5 of Assessment and Provision of Supports Policy)
☐ Services Agreement
☐ Services Agreement (SIL)
___/___/___
By:
Support Planning (Section 5.6 of Assessment and Provision of Supports Policy)
☐ Participant Support Plan
☐ Participant Emergency Plan
☐ Participant Risk Assessment Form
☐ Home Risk Assessment Checklist
☐ Consult with Participant about plans in place for Emergency and Disaster Management
☐ Consult with Participant on how their information is stored, when and how hey can access or correct their information and withdraw or amend their prior consent
☐ Update Schedule of Supports or Privacy Consent Form (if required) based on support planning discussion.
___/___/___
By:
Policies to be provided at Participant’s request
☐ Feedback and Complaints Policy
☐ Incident Management Policy
☐ Privacy and Information Management Policy
☐ Any other policies requested (if reasonable), specify:
___/___/___
By:
To be provided if and when required
☐ Advocate or Support Person Request Form
☐ Change to Schedule of Supports Form
☐ Feedback and Complaints Form
☐ Participant Satisfaction Survey
___/___/___
By:
Exit and Transition
☐ Participant Exit and Transition Form
☐ Participant Satisfaction Survey
___/___/___
By:
Declaration on behalf of Strivesocial ABN 22 682 526 147
I have completed the above forms/actions as applicable.
________________________ ________________________ ___/___/___
Signature Name (please print) Date