NDIS Stays enquiry

To enquire about one of our NDIS-funded accommodation packages, please complete the form below.

We recommend that this form is completed on a Desktop or Tablet.
To book your stay at the Spinal Life Healthy Living Centre, please let us know what services and equipment you require to make your time with us as enjoyable and comfortable as possible.

Once the completed form is submitted, our Guest and Services Team will contact you to confirm the details of your booking and the next steps.

If you require any assistance in completing this form at any time please contact us on 1300 774 625.

For Frequently Asked Questions, visit our FAQ page

Please note: This form is not a confirmation of a booking, just a submission of your preferred dates.
Terms and Conditions
Before submitting your booking, please read the Spinal Life Healthy Living Centre Accommodation Terms and Conditions.

Personal Details
Name*
First Name Last Name
Date of Birth*
Date Format: DD slash MM slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Best Contact Number*
Email*
Preferred Contact Method*

Check-in Details and Room Setup
Check-in time is from 2:00pm. Check-out time is before 11:00am.
Arrival Date*
Date Format: DD dash MM dash YYYY
Departure Date*
Date Format: DD dash MM dash YYYY
Check In*

: Hour

Minute
Number of guests*
Do you require a wheelchair charger for this stay?*
- Yes
- No
Will you be bringing an assistance animal with you on your stay?*
- Yes
- No
Have you read, and do you agree to the conditions of bringing an assistance animal, in the Healthy Living Centre Accommodation Terms and Conditions?*
Yes, I agree to the Terms and Conditions regarding assistance animals
Bedroom Configurations*
- One Bedroom Unit (1 x King Bed, 1 x Double sofa bed)
- Two Bedroom Family Unit (1 x King Bed, 2 x Single Beds, 1 x Queen sofa bed)
- Two Bedroom Standard Unit (1 x King Bed, 1 x Double bed, 1 x Queen sofa bed)
One Bedroom Unit
1 x Room, 1 x King Bed (2 single beds combined), 1 x Double sofa bed (max 4 people).
What configuration would you prefer for the King Bed?*
- Hi-Lo bed and companion bed together
- Hi-Lo bed and companion bed separated
Do you require linen for the Double sofa bed (additional costs may apply)?*
- Yes, please set up the Double sofa bed for additional guest(s)
- I do not require the Double sofa bed
Two Bedroom Family Unit
2 x Rooms, 1 x King Bed (2 single beds combined), 2 x single beds, 1 x Queen sofa bed (max 6 people).
What configuration would you prefer for the King Bed?*
- Hi-Lo bed and companion bed together
- Hi-Lo bed and companion bed separated
What configuration would you prefer in Bedroom Two?*
- Two single beds
- One Queen bed (two single beds combined)
Do you require linen for the Queen sofa bed (additional costs may apply)?*
- Yes, please set up the Queen sofa bed for additional guest(s)
- I do not require the Queen sofa bed
Two Bedroom Standard Unit
2 x Rooms, 1 x King Bed (2 single beds combined), 1 x double bed, 1 x Queen sofa bed (max 6 people).
What configuration would you prefer for the King Bed?*
- Hi-Lo bed and companion bed together
- Hi-Lo bed and companion bed separated
What configuration would you prefer in Bedroom Two?*
- Two single beds
- One Queen bed (two single beds combined)
Do you require linen for the Queen sofa bed (additional costs may apply)?*
- Yes, please set up the Queen sofa bed for additional guest(s)
- I do not require the Queen sofa bed

Funding Your Stay
If you would like to use your NDIS Plan to fund your stay with us, you are required to stay on one of our short term accommodation and assistance packages.

All guests will be required to pay the equivalent to one night at the package rate to secure your dates. This must be received within 5 business days of receiving your quote from the Guest and Services Team. Pre-payments can be made online or over the phone.
Are you still in Spinal Rehabilitation?*
- Yes
- No
Name of hospital or facility*
Social Worker's Name*
First Last
Social Worker's Phone Number*
Social Worker's Email Address*
Which package do you wish to book (1 bedroom)?*
Which package do you wish to book (2 bedroom)?*
How will your stay be funded?*
NDIS: Agency Managed
NDIS Participant Number*
Plan Start Date*
Date Format: DD slash MM slash YYYY
Plan End Date*
Date Format: DD slash MM slash YYYY
Spinal Life will send you a Service Level Agreement and once we receive it back signed from you, do you give permission for our Guest and Services Team to access the NDIS Portal to secure funds for your stay?*
- Yes
- No
NDIS: Plan Managed
NDIS Participant Number*
Plan Start Date*
Date Format: DD slash MM slash YYYY
Plan End Date*
Date Format: DD slash MM slash YYYY
Name of Plan Manager (individual or organisation)*
Plan Manager's Phone Number*
Plan Manager's Email Address*
NDIS: Self-Managed
As a NDIS self-managed guest there are two options to fund your stay:
1. 1. You can either pay out of pocket and submit a claim to the NDIS Portal to be reimbursed after your stay OR
2. 2. You can request an invoice from us to submit a claim through the NDIS Portal. Please use the Invoice Date in order to receive funds to settle your account prior to your stay.
You will also be required to pay a security deposit (equivalent to one night at the selected package rate) to secure your dates. Payments can be made online or over the phone. After receiving this form and confirming your details, we will send you instructions to complete this deposit.
How will you be paying for your stay?*
Other insurer
Please provide insurer information (company name, email and phone number).*
eg. NIISQ, icare, TIO, etc

Guest Personal Support Services
This section details your attendant care schedule should you wish to use our Guest Personal Support Services.
Do you require personal care during your stay?*
- Yes (complete all sections below)
- No
Morning Support*
- Yes
- No
Start Time for Morning Support*

: Hour

Minute
Finish Time*

: Hour

Minute
Total hours of morning support required*
Do you require 2 people to assist you during this time?*
- Yes
- No
Personal Routines
Please select the support you require during your stay (tick all that apply)
- Apply/Remove leg/arm splints or gloves
- Rolling and positioning in bed
- Skin checks and monitoring
- Assisted hoist transfers
- Assisted slide board transfers
- Assistance with meal preparation
- Assistance with eating meals
- Assistance with medication
- Showering, drying, brushing teeth, shaving, personal grooming
- Dressing
- Passive movement exercises
- Set up respiratory equipment
- Set up drinking system
- Set up chair/cushions
- Charge wheelchair
Personal Care
Please select the support your require during your stay (tick all that apply)
- Overnight bag/bottle or leg bag change
- Catheter flush and/or clean
- Dressing Suprapubic Catheter (SPC) site or stoma care
- Bowel care requiring administration of enemas and/or suppositories
- Bowel care requiring digital stimulation and/or manual removal
- Bowel care requiring anal irrigation
- Tracheostomy suctioning and ventilator cleaning
- Pressure wound care and dressing
- PEG fluid meals / Enteral fluids
Please list any additional tasks for personal routine/personal care
Lunch Support*
- Yes
- No
Start Time for Lunch Support*

: Hour

Minute
Finish Time*

: Hour

Minute
Total hours of lunch support required*
Do you require 2 people to assist you during this time?*
- Yes
- No
Personal Routines
Please select the support you require during your stay (tick all that apply)
- Apply/Remove leg/arm splints or gloves
- Rolling and positioning in bed
- Skin checks and monitoring
- Assisted hoist transfers
- Assisted slide board transfers
- Assistance with meal preparation
- Assistance with eating meals
- Assistance with medication
- Showering, drying, brushing teeth, shaving, personal grooming
- Dressing
- Passive movement exercises
- Set up respiratory equipment
- Set up drinking system
- Set up chair/cushions
- Charge wheelchair
Personal Care
Please select the support your require during your stay (tick all that apply)
- Overnight bag/bottle or leg bag change
- Catheter flush and/or clean
- Dressing Suprapubic Catheter (SPC) site or stoma care
- Bowel care requiring administration of enemas and/or suppositories
- Bowel care requiring digital stimulation and/or manual removal
- Bowel care requiring anal irrigation
- Tracheostomy suctioning and ventilator cleaning
- Pressure wound care and dressing
- PEG fluid meals / Enteral fluids
Please list any additional tasks for lunch support
Afternoon Support*
- Yes
- No
Start Time for Afternoon Support*

: Hour

Minute
Finish Time*

: Hour

Minute
How many hours of afternoon support total?*
Do you require 2 people to assist you during this time?*
- Yes
- No
Personal Routines
Please select the support you require during your stay (tick all that apply)
- Apply/Remove leg/arm splints or gloves
- Rolling and positioning in bed
- Skin checks and monitoring
- Assisted hoist transfers
- Assisted slide board transfers
- Assistance with meal preparation
- Assistance with eating meals
- Assistance with medication
- Showering, drying, brushing teeth, shaving, personal grooming
- Dressing
- Passive movement exercises
- Set up respiratory equipment
- Set up drinking system
- Set up chair/cushions
- Charge wheelchair
Personal Care
Please select the support your require during your stay (tick all that apply)
- Overnight bag/bottle or leg bag change
- Catheter flush and/or clean
- Dressing Suprapubic Catheter (SPC) site or stoma care
- Bowel care requiring administration of enemas and/or suppositories
- Bowel care requiring digital stimulation and/or manual removal
- Bowel care requiring anal irrigation
- Tracheostomy suctioning and ventilator cleaning
- Pressure wound care and dressing
- PEG fluid meals / Enteral fluids
Please list any additional tasks for afternoon support
Evening Support*
- Yes
- No
Start time for Evening Support*

: Hour

Minute
Finish Time*

: Hour

Minute
How many hours of evening support total?*
Do you require 2 people to assist you during this time?*
- Yes
- No
Personal Routines
Please select the support you require during your stay (tick all that apply)
- Apply/Remove leg/arm splints or gloves
- Rolling and positioning in bed
- Skin checks and monitoring
- Assisted hoist transfers
- Assisted slide board transfers
- Assistance with meal preparation
- Assistance with eating meals
- Assistance with medication
- Showering, drying, brushing teeth, shaving, personal grooming
- Dressing
- Passive movement exercises
- Set up respiratory equipment
- Set up drinking system
- Set up chair/cushions
- Charge wheelchair
Personal Care
Please select the support your require during your stay (tick all that apply)
- Overnight bag/bottle or leg bag change
- Catheter flush and/or clean
- Dressing Suprapubic Catheter (SPC) site or stoma care
- Bowel care requiring administration of enemas and/or suppositories
- Bowel care requiring digital stimulation and/or manual removal
- Bowel care requiring anal irrigation
- Tracheostomy suctioning and ventilator cleaning
- Pressure wound care and dressing
- PEG fluid meals / Enteral fluids
Please list any additional tasks for evening support
Overnight Support: 12am - 6:30am*
If you require scheduled care overnight, please complete and submit this form. A member of our Guest and Services Team will contact you to discuss options to meet your needs.
- Yes
- No
**Please only enter information below for the care Spinal Life Support Services will be providing.** Please do not add your own support worker care and hours in here.

Special Equipment Requests
Equipment shown below is provided at no extra charge. We have a selection of equipment however we cannot always guarantee availability. If we find a piece of equipment is overbooked we will do our best to hire similar or will contact you to advise of any availability issues.
Bedroom Equipment
Mattress Options*
- Regular inner spring mattress
- CuroCell Area (Combines air and multiple layers of high quality foam)
- CuroCell Cirrus (Alternating air mattress)
- Liberty Fusion Gel mattress (foam pressure care mattress)
Will you be using our sling hoist?*
- Yes
- No
Sling type?*
- Head support
- I will bring my own sling
Please Note: Our ceiling hoists will only support loop slings. Please be sure if you are bringing your own sling that it has loops not plastic clips.
Sling size*
- Small
- Medium
- Large
- Extra large
Shower Commodes
All Shower Commodes provided have a pressure management seat cushion, calf strap and adjustable foot height. In the event we do not have your specified choice available we will endeavour to hire one similar. If we cannot, we will inform you.
Would you like to use one of our Shower Commodes?*
- Yes
- No, I will bring my own
- No, I don't use a commode
Which type of commode would you prefer?*
- Self propel
- Attendant propel
- Tilt in space
Types of Shower Commodes available?*
- Commode: Closed front
- Commode: Right side opening
- Commode: Left side opening
- Commode: Rear opening
- Commode: Front opening
Which side do you self-transfer from?*
- Left-hand transfer
- Right-hand transfer
Additional Bathroom Equipment
Would you like to use any of our adaptive bathroom options? (Pan with lid, over toilet frame, padded toilet seat)*
- Yes
- No
Adaptive bathroom aid options (select all that apply)
- Commode pan with lid
- Padded toilet seat
- Over toilet frame
Other Adaptive Equipment
Other Adaptive Equipment (select all that apply)
- Transfer Board
- Over Bed Table
Additional Equipment Needs
Will you need to access additional specialist equipment not listed above?*
- Yes
- No
If you chose Yes, a member of the Guest and Services Team will call you to discuss your needs, costs and availability.

Therapies and Services
We want to ensure you have full access to our multi-disciplinary team as part of the allied health service inclusions in your package. Please select the therapy you would like to receive during your stay.
Physiotherapy
Would you like to access Physiotherapy during your stay?*
- Yes
- No
- Unsure
How many Physiotherapy sessions would you like?*
Your package includes one hour of allied health services per day, including Physiotherapy.
Preferred time of day for Physiotherapy*
Please describe what you would like to achieve during your Physiotherapy session/s
Occupational Therapy
Would you like to access Occupational Therapy during your stay?*
- Yes
- No
- Unsure
How many Occupational Therapy sessions would you like?*
Your package includes one hour of allied health services per day, including Occupational Therapy.
Preferred time of day for Occupational Therapy*
Please describe what you would like to achieve during your Occupation Therapy session/s
Exercise Physiology
Would you like to access Exercise Physiology during your stay?*
- Yes
- No
- Unsure
How many Exercise Physiology sessions would you like?*
Your package includes one hour of allied health services per day, including Exercise Physiology.
Preferred time of day for Exercise Physiology*
Please describe what you would like to achieve during your Exercise Physiology session/s

Submit Your Booking
Thank you for taking the time to fill out our form. You will receive an automatic email confirming we have received your request.
If you do not receive an email in your inbox soon, please check your junk or spam folder.
If you have any questions at all, please contact us.
CAPTCHA

Proudly supported by Motor Accident Insurance Comission

Your Privacy Spinal Life Australia website Leave Feedback

Terms and Conditions

Personal Details

Check-in Details and Room Setup

One Bedroom Unit

Two Bedroom Family Unit

Two Bedroom Standard Unit

Funding Your Stay

NDIS: Agency Managed

NDIS: Plan Managed

NDIS: Self-Managed

Other insurer

Guest Personal Support Services

Special Equipment Requests

Bedroom Equipment

Shower Commodes

Additional Bathroom Equipment

Other Adaptive Equipment

Additional Equipment Needs

Therapies and Services

Physiotherapy

Occupational Therapy

Exercise Physiology

Submit Your Booking