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Oriented Services

Referral Form

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Fun with Dice background, Players Handbook and DM guide with dice scattered on top.

New Player Referral

First name

Phone

Last name

Gender & or Personal Pronoun

Date of Birth

What age Group are you ? *

8-10

11-15

16-18+

Adult

How did you find out about us?

A few words about you

Which days are you available?

Mon

Tue

Wed

Thu

Fri

Sat

Parent or Guardian Details

Parent / Guardian Name

Phone

Invoices, Plans, Payment

Select an option *

Client Directly

Gaurdian or Parent

NDIS - Plan manager

Plan Managers email / invoice

Name of provider or person

Plan manger Number

NDIS Number

NDIS plan start Date

NDIS plan finish Date

A invoice for the amount of $886 will be sent to the provided information. Once payment is received your stating package will be provided as well as a range of selected campaign start dates and session times.

The Details

Below we will ask a number of questions focused around us providing the best possible services to you or your loved one. Please only answer what you feel comfortable with, however the more information provided the better able we are to tailor the experience.

Are There Any Communication Concerns Or Preferences

Are There Any Triggers Or Actions That May Create Unease?

What Environmental Specifics Are Needed To Accommodate You

Is There A Need For Assistive Technology That Needs To Be Provided For?

Do you have any specific sensory needs?

Is There Anything You Should Know Of In Advance About The Child’s Preferences Or Conditions You Should Be Aware Of, And If So, To What Degree Do These Considerations Affect The Child

What familiarity have you with table tops games rpgs and Dungeons and Dragons.

Have you got a set of dice of your own ?

Do you have a style of play preference, or what you idea of a good adventure?

What are your no goes, what are areas of role play you consider taboo or too confronting

Is ther anything else about your personal preferences, needs or disability that we might need to take into consideration?

Thanks for your interest, lets get those dice rolling!

Recovery Oriented Services

ABN: 36485549481

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Contacts

Phone

Supports: 0493 625 184

Emails

Accounts: accounts@ros.contact

Support Services: Support@ros.contact

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