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How To Write NDIS Case Notes efficiently and effectively:
Be Clear and Concise
Focus on important details without overwhelming with unnecessary content
Objective Language
Writing good progress notes involves sticking to the facts—what you saw, both good and bad, what you did, and what happened before or after.
Use clear, descriptive language without making assumptions or judgments.
Relevant Information
Include details that are pertinent to the client’s progress and goals and those who manage the Participant.
Timely Documentation
Write notes promptly after the session while the information is fresh.
Consistency
Follow a standardised format to ensure uniformity and easy comprehension for all stakeholders.
Client-Centered Approach
Keep the client’s perspective in mind, focusing on their needs, achievements, and challenges.
Privacy and Confidentiality
Adhere strictly to confidentiality guidelines when documenting sensitive information.
NDIS mandates records with minimum standard of inclusions for compliance.