Family | Kiind

What you can expect

When you join Kiind, you can expect one-on-one support from a professional Peer Navigator, connection to other families, and access to collective knowledge, information, tools and resources that will save you time and frustration as you travel your child’s disability journey.

As a Kiind family member, you'll have access to:

One-to-one pathway planning with a professional Peer Navigator.
Access to parent support groups with expert guest speakers.
Peer support through Kiind Families Facebook Network.
Access to a parent coach with lived experience.
Weekly ‘What’s on’ activity and event guide plus free tix when available.
Information guides, tools and resources.
Help if you’re in the hospital.

Become a family member

Step of

(CRM) Become a family member

Fields marked with * are required.

"*" indicates required fields

Step 1 of 4

25%

Parent/carer information

Name of primary contact:*

Surname:*

Known as:

Gender:*

Male

Female

Non-binary / Gender Diverse

Prefer not to say

Other

Other:*

Are you of Aboriginal or Torres Strait Islander origin?*

Yes

Are you from a culturally and linguistically diverse background?*

Yes

Address:

Suburb:

Postcode:*

Telephone:

Mobile:

Email:*

Preferred method of contact*

Phone

Please connect me to:

Kiind Families Facebook Network, (closed Facebook group)

A trained Kiind Parent Coach

I am interested in becoming a Parent Coach

Weekly What's on guide and other updates

My Facebook name is:

Name of secondary contact (if applicable):

Surname:*

Known as:

Gender:*

Male

Female

Non-binary / Gender Diverse

Prefer not to say

Other

Other:*

Are they of Aboriginal or Torres Strait Islander origin?*

Yes

Are they from a culturally and linguistically diverse background?*

Yes

Address (if different):

Suburb:

Postcode:

Telephone:

Mobile:

Email:*

Preferred method of contact:

Phone

None

Please connect secondary contact to:

Kiind Families Facebook Network, (closed Facebook group)

A trained Kiind Parent Coach

I am interested in becoming a Parent Coach

Weekly What’s on guide and other updates

Secondary contact Facebook name is:

About your child(ren) with disability

Name of child 1 with additional needs:*

Surname:*

Known as:

Date of Birth:*

YYYY

Gender*

Male

Female

Non-binary / Gender diverse

Prefer not to say

Other

Other:*

Your relationship to child:*

Father

Mother

Foster parent

Step parent

Grandparent

Family carer

Guardian

Other

Other*

Primary diagnosis / condition*

Does your child have an NDIS Plan?*

Yes

If yes, what Plan management option are you using?*

NDIS-managed (Agency-managed)

Self-managed

Plan Managed

Combination of management options

If your child already has an NDIS Plan, what is the Plan Re-assessment date?

Day

Month

Year

Name of child 2 with additional needs:

Surname:*

Known as:

Date of birth:*

YYYY

Gender:*

Male

Female

Non-binary / Gender diverse

Prefer not to say

Other

Other:*

Your relationship to child:*

Father

Mother

Foster parent

Step parent

Grandparent

Family carer

Guardian

Other

Other:*

Primary diagnosis / condition:*

Does your second child have an NDIS Plan?*

Yes

If yes, what Plan Managed option are you using for your second child?*

NDIS-managed (Agency-managed)

Self-managed

Plan Managed

Combination of management options

If your child already has an NDIS Plan, what is the Plan Re-assessment date?

YYYY

Name of child 3 with additional needs:

Surname:*

Known as:

Date of birth:*

YYYY

Gender:*

Male

Female

Non-binary / Gender diverse

Prefer not to say

Other

Other:*

Your relationship to child:*

Father

Mother

Foster parent

Step parent

Grandparent

Family carer

Guardian

Other

Other:*

Primary diagnosis / condition:*

Does your third child have an NDIS Plan?*

Yes

If yes, what Plan Managed option are you using for your third child?

NDIS-managed (Agency-managed)

Self-managed

Plan Managed

Combination of management options

If your child already has an NDIS Plan, what is the Plan Re-assessment date?

YYYY

Other child(ren) in the family (no disability)

Sibling 1 (without disability): First Name

Surname:

Known as:

Date of birth:*

YYYY

Gender*

Male

Female

Non-binary / Gender diverse

prefer not to say

Other

Other*

Your relationship to child:

Father

Mother

Foster parent

Step parent

Grandparent

Family carer

Guardian

Other

Other*

Sibling 2 (without disability): First Name

Surname:

Known as:

Date of birth:*

YYYY

Gender:*

Male

Female

Non-binary / Gender diverse

prefer not to say

Other

Other:

Your relationship to child:

Father

Mother

Foster parent

Step parent

Grandparent

Family carer

Guardian

Other

Other:

Sibling 3 (without disability): First Name

Surname:

Known as:

Date of birth:*

YYYY

Gender*

Male

Female

Non-binary / Gender diverse

prefer not to say

Other

Your relationship to child:*

Father

Mother

Foster parent

Step parent

Grandparent

Family carer

Guardian

Other

Other*

Please tell us how you heard about Kiind?*

Word of mouth

Social media

Online search

Child Development Service

Perth Children's Hospital

Clinician/medical professional

Allied Health Professional

School

Community service organisation

NDIS provider

NDIS (ECP, LAC or NDIA Planner)

Media

Other

By submitting this form, you consent to Kiind's collection and use of your personal data in accordance with our privacy statement. To learn more about our data collection and usage practices, please visit our Privacy Policy

Join our community. It's free!

What you can expect

As a Kiind family member, you'll have access to:

Become a family member

(CRM) Become a family member

Parent/carer information

About your child(ren) with disability

Other child(ren) in the family (no disability)

Please tell us how you heard about Kiind?*

Join our community.
It's free!