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NDIS

Use the form below to request sexological support for NDIS participants.

Emily provides sexual health therapy to NDIS participants via telehealth or in certain circumstances can travel to your preferred location. Emily has experience working with many disabilities, particularly ASD, ADHD, ID, ODD, FND and other psychosocial disabilities. Throughout Emily's time working as a Behaviour Support Practitioner Emily has supported people from ages 6 to 70. Emily has had experience working across the Greater Geelong area and Mildura.​ Emily can support NDIS participants with sexualised behaviours, sex education, healthy relationships, consent and sexual function difficulties. 

The NDIS can fund sex therapy under Support Category 15: Improved Daily Living. This is charged as an 'other therapist' at the rate of $193.99.

Please note: I do not provide behaviour support services at this clinic. Please contact me if you are interested in this service.

NDIS referral form

Please select what describes you best?

Participant Details

Gender
Do You/Does the participant identify as Aboriginal or Torres Straight Islander
Do you require an interpreter?
Is the primary contact for the first appointment the same as the referrer entered at the beginning?

Additional Contacts

Please list the people who are authorised to receive/sign the service agreement and information regarding services. ​

Note: If you are completing this form on the participant's behalf, please seek the participant's approval before completing this section. If you are a support coordinator and have consent from the client to receive the service agreement please enter your details below.

Note: Participants can withdraw this consent anytime by emailing admin@emilyduncansexology.com

Primary Disability/Health Background

NDIS details

Upload File

Billing

How is the plan funding managed?

Thanks for submitting! We will be in contact within 5 business days.

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