About your child. Our form.

$250.00

Adult intake form

Topic                        Intake form

Easy English title  About your child. Our form

Audience                 Parents of children under 18 years.

Type                          Form

Length                      23 pages of Easy English.

(Plus 2 pages of copyright and acknowledgement)

Note: there are 2 blank page early in the form. They need to be retained to ensure each topic that requires 2 pages always starts on the left page.

Includes name, age, contact details, gender identity, Aboriginal & Torres Strait Islander identity, cultural identity & interpreter need, other communication support need, childcare/ preschool/school, any court orders, parent 1 contact details, parent 2 contact details,  next of kin & who can sign papers about your child

Purpose                   To gather basic information about children, including next of kin.

Suitable for             Any service or professional.

How to use              Print in colour.

Bind together, or put 3 staples down the left side of your form. It will now open like a book.

Released                    updated 2 April 2025.

Includes GST