Yahweh Care
Activity Log
Signout
Participant Intake Form
Participant Support Plan
E-Signature Consent Form
Risk Assessment
Service Delivery Team Log
Client Signature Log
E-Signature Consent Form
E-Signature Consent Form
Participant/ Authorised Representative:
Participant/ Authorised Representative:
First Name
First Name
Last Name
Last Name
Preferred confirmation:
SMS
Email
Phone
Email
*
I authorise Yahweh Care Pty Ltd to store my e-signature and use it to sign documents on my behalf for routine, non-financial NDIS matters after I confirm each document by SMS or email.
*
I can withdraw this consent at any time. Yahweh Care will keep my information secure and handle it under the Privacy Act 1988 (Cth).
*
Not permitted: banking/financial forms, legal proceedings, medical treatment consent, or anything creating financial liability.
Signature
signature
keyboard
Clear
Date
Submit
If you are human, leave this field blank.