We developed the form in collaboration with the NDIA, and has been publicly available on the NDIS website since October 2019.
You can find the form itself in a range of formats - along with a range of other useful documents and templates relating to the access process - on the right hand side of this page.
Anyone can use the Evidence of psychosocial disability form, but it is primarily designed to be used by support workers helping their clients to put together an NDIS request, in conjunction with a clinician.
Please be aware that the evidence you share with the NDIS and how you present it may affect the NDIS’s decision; therefore, you should inform yourself more broadly about how to put together a strong NDIS application. Do not rely on this page alone!
At a minimum, if you are providing evidence to support a person’s NDIS access request, or supporting them to gather evidence, we recommend completing our free NDIS access and psychosocial disability online training module (or the alternate version for clinicians ) and reading the NDIA’s ‘ Access Snapshots 1-6 ’. There are additional learning resources listed on the right hand side of this page.
contact your Local Area Coordinator
for access information or support.
The Evidence of psychosocial disability form has been designed to address the disability criteria that a person must meet to demonstrate they meet the access criteria for the NDIS. It does not provide information about age, residency or consent to apply, so it must be completed in conjunction with either of the following options depending on the person’s preferences.
Option 1: Access request form + Evidence of psychosocial disability form
Option 2: Verbal access request + Evidence of psychosocial disability form
Who can complete the Evidence of psychosocial disability form?
The form needs to be completed by an appropriately qualified mental health professional, or professionals, who can provide information about a person’s clinical history and daily function.
Section A: Clinical Information
Section A gathers information about:
Section A must be completed by an appropriately qualified clinician who has been involved in, or has access to, the person’s treatment history. Generally, this would be the person’s GP or psychiatrist; however, this may vary depending on the person’s circumstances and their treatment team.
Section B: Functional information
Section B gathers information about:
Section B should be completed by a mental health professional who knows the person well and can provide information about the impact of the person’s mental health impairments on their life. This could be a support worker, allied health professional or a clinician (including the clinician who completed Section A). Completion of the free online LSP16 functional assessment tool training is required to provide information in Section B.
If Section B has been completed by a separate person, the level of detail required by the clinician completing Section A is reduced. In this situation, we recommend completing Section B prior to asking a clinician to complete Section A. If the form is completed by a single clinician, they will need to complete the relevant parts of Section A and B.
An applicant can provide their consent for another person (e.g. support worker) to assist them during the access process. Options include: