top of page

Consent for Login Access to MPM Phone App and Client Portal CP 1.3.1 (c)

This form enables a Participant/Nominated Representative to give signed consent for My Plan Manager to provide login access  to our phone app and client portal, to view a Participant’s personal and NDIS Plan information to additional parties such as a  Secondary Contact (your parent, a co-parent/guardians, grandparents, close friends etc.), Support Coordinators or others.

Only the NDIS Participant themselves or a legal guardian of an NDIS Participant may give this consent. This consent can be  revoked at any time by the Participant/Nominated Representative.

acting on behalf of (Participant’s Full Name if not NDIS Participant)

hereby consent to My Plan Manager providing login access to the following parties to VIEW the Participant’s current budget amounts,  information about recent invoices and providers that have been engaged and Participant’s personal information including, date of  birth, NDIS Number, address, phone number and email address, primary contact details and secondary contact details if applicable;

Secondary/Other Contact :

Support Coordinator/s

Thanks for registering to our event. See you there!

acting on behalf of (Participant’s Full Name if not NDIS Participant)

hereby consent to My Plan Manager providing login access to the following parties to VIEW the Participant’s current budget amounts,  information about recent invoices and providers that have been engaged and Participant’s personal information including, date of  birth, NDIS Number, address, phone number and email address, primary contact details and secondary contact details if applicable;

Secondary/Other Contact :

Support Coordinator/s

Thanks for registering to our event. See you there!

bottom of page