Participant Consent Form sample page preview

Participant Consent Form

$24.99
Instant download. One-time purchase. Fully editable Word (DOCX).

Records a participant's informed consent to the collection, use and sharing of their information, and to the delivery of supports. Complete it before supports start, and review it at least annually or when circumstances change.

What is inside:

  • Participant details and preferred communication method
  • Authorised representative, guardian or nominee, and their capacity
  • Consent to collect and share information, listing who it may go to and when the law requires disclosure without consent
  • Consent to supports, including rights, complaints, advocacy and the right to withdraw consent at any time
  • Emergency contacts and whether they can make decisions for the participant
  • Specific restrictions, and cultural, religious or personal values to observe
  • Participant or representative signature and staff acknowledgement
  • A consent review, monitoring technology and withdrawal record
  • Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
  • Editable DOCX with a placeholder legend, so you enter your details once
  • Instant download

These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.

Buying more than one template? This one is also in

On its own this template is $24.99. Each pack below includes it, plus the rest of the set.

Digital product. Because these are instant downloads, we do not offer refunds for change of mind once your files have been accessed. This does not affect your rights under the Australian Consumer Law. Bought the wrong pack? Contact us within 30 days and we will credit what you paid towards the right one. If you have a technical issue accessing your files, contact us and we will sort it out. See our refund policy.
Your responsibility. These are editable templates provided as a starting point, not legal, compliance or professional advice. You are responsible for reviewing each template, adapting it to your service, and making sure the information is current, accurate and appropriate for your circumstances and your state or territory before you rely on it. Moreton Regional Support Services is not liable for any loss, penalty or outcome arising from your use of these templates, and no template can guarantee NDIS registration, audit or compliance outcomes.