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Consumer Registration Form

Nathan Schumacher

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Consumer Registration Form

To Whom It May Concern,

I, Tracey Posta, hereby give full and informed consent for Nathan Schumacher and Eszter Agocs of Future Footprints to:

  1. Discuss all matters related to Jax Posta’s therapy and NDIS plan, including but not limited to:

    • Support needs and goals
    • Service delivery and coordination
    • Financial status and plan funding
  2. Set up and organise a Plan Manager to manage Jax Posta’s NDIS plan on his behalf.

This consent includes the authority to communicate with the National Disability Insurance Agency (NDIA), service providers, and any relevant professionals involved in Jax Posta’s care and support.

I understand that I may withdraw this consent at any time by notifying the NDIA or the relevant parties in writing.

Participant Name: Jax Posta
Authorised Representative: Tracey Posta
Signature: ___________________________
Date: ___________________________

Please contact me if any further information is required.

Sincerely,
Tracey Posta

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Consumer Registration Form

Nathan Schumacher

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