Support Reliability Scorecard

Evidence-gathering tool for NDIS plan reviews and support assessment

Participant Name *

Plan Start Date *

Number of Current Support Providers *

Support Type(s) *

Personal Care

Household Tasks

Community Access

Transport

Other

In the past 6 months, has this provider cancelled or postponed shifts without notice? *

Have different workers shown up for the same participant each visit? *

Has the participant had to re-explain needs or support preferences to workers? *

Has the participant or family raised complaints or concerns about the provider? *

Contact Email for Report Delivery

Optional – defaults to noreply@primecareaccess.com.au if left blank