FBA CARE Illness Disclosure Form

To support FBA CARE’s response to the COVID-19 pandemic, all participants who become unwell are required to inform FBA CARE as soon as possible. We will undertake an initial risk assessment via telephone to help determine how we can best support you while you are unwell.

All participants are required to have a medical clearance (document from your GP) when well again so regular services can recommence.

    Client Details


    Representative Details (if applicable)

    GP Details

    Details of Illness