Occupational Therapy Community Aged Care Consent Form Template
 
Set clear expectations and document informed consent when providing occupational therapy as an associated provider under Support at Home.
 
This editable template helps OTs explain the therapy process, clarify their role alongside the Registered Provider and record consent in a consistent, professional way—without creating a second service agreement.
 
The template includes:
scope and nature of occupational therapy services
roles of the OT and Registered Provider
privacy, record-keeping and information sharing
consent for assessment, liaison, photographs and recordings
optional consent for AI-assisted documentation
direct and indirect clinical activities
cancellations, fees and funding responsibilities
client rights, feedback and complaints
supported decision-making and representative details
client and practitioner declarations
Designed specifically for associated-provider OTs working with Support at Home clients, the template is fully editable so you can adapt it to your practice, jurisdiction and Registered Provider requirements.
 
Please note: A separate OT consent form is not mandatory under Support at Home. This template provides a practical way to strengthen transparency, document informed consent and clarify expectations. It does not replace the client’s service agreement with their Registered Provider or constitute legal advice.