NDIS Participant Authorisation Form

This form can only be used for orders under $1500


NDIS Participant Authorisation Form

NDIS Participant Authorisation Form
Participant Address *
Participant Address
Please fill in either ‘Category with Funds Available’ OR ‘Plan Manager details’
When the NDIS funding for the hire of equipment has come to an end, the client MUST provide an alternative payment method.
Equipment will be promptly collected if an alternative payment method has not been provided by the funding expiry date.

Privacy Agreement

By completing this form you give Astris Lifecare approval to collect, store and use this information for the purposes of providing services to the equipment user named on this form in accordance with Astris Lifecare Privacy Policy. Astris Lifecare will not release this information to any person or company not named on this form.

Authorisation *

In submitting this form, I the equipment user authorise or I am the authorised representative of the participant named above, who authorise me to allow Astris Lifecare Pty Ltd to collect, store and use this confidential data, for the sole use of providing services and equipment.

I agree to receive communications

What is NDIS?

The National Disability Insurance Scheme, or NDIS is run by the National Disability Insurance Agency, or NDIA.

The NDIS is one component of the National Disability Strategy which brings community, government and industry together to address the challenges faced by people with disability, and ensures they are supported by mainstream services such as health, education and transport and the wider community.

The aim of the NDIS is simple: To provide Australians who are born with or acquire a permanent and significant disability with the reasonable and necessary supports they need to live and enjoy an ordinary life. The vision of the NDIS is also simple: To build independence, and increase opportunities and social participation for people living with disability in Australia.

The NDIS consists of two parts: NDIS funded supports for eligible participants, and Information, Linkages and Capacity Building (or ILC which is all about connecting your with your community) – for all people with disability. People with disability who are eligible to become NDIS participants will receive funded support. Each NDIS participant has a plan that focuses on building their independence, and increasing opportunities. This could mean participating in activities in your community, getting a job or learning a new skill.

The important thing is that the participant has choice and control of the supports they need to live the life they want. By 2020 around 460,000 people with disability living in Australia will have a funded plan under the NDIS. The second part of the NDIS is Information, Linkages and Capacity Building or ILC. ILC is for all people with disability, whether they are an NDIS participant or not.

For more information visit the NDIS Website.



Frequently Asked Questions

Yes Astris Lifecare are a Register Provider to the NDIS Scheme – NDIS Provider No 4050004054

To be eligible for the National Disability Insurance Scheme (NDIS) you must:
• be under 65 years of age
• and, be an Australian citizen or resident or permanent visa holder
• and,  meet the disability or early intervention requirements.

See link below

For those aged 65 years and over you may not be eligible for the NDIS but other support is available through Commonwealth Aged Care.

Please see the link to NDIS Page https://www.ndis.gov.au/participants

Or contact NDIS for further information on 1800 800 110.

Currently, there is provision for repairs and maintenance charges to be covered within your NDIS budget.

Submit your ‘Service Request’ and complete the NDIS section.

Request for Service