Personal Care Disability Support Plan

Participant Information

Name
Date of Birth
NDIS Number
Address
Emergency Contact

Support Needs

Personal Care Area	Support Required	Details/Instructions
Showering/Bathing
Toileting
Dressing
Grooming (Hair/Nails/Oral care)
Medication Assistance
Mobility/Transfers
Other

Preferences & Routines

Preferred Time for Support Specific Preferences (e.g., products, methods) Daily Routine Notes

Health & Safety Considerations

Allergies/Medical Conditions Risks to Consider Emergency Procedures

Goals

Goal	Support Strategies	Progress Notes

Plan Review

Plan Created By
Date
Participant/Representative Signature
Review Date