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.