Assistive Technology Referral

Assistive Technology — referral & intake

Complete the form below. Fields marked are required. The form accepts attachments (reports, equipment lists). If uploads fail, email documents to founder@edulinked.com.au.

Referrer details

Your name *

Your role / organisation

Your email *

Phone

Person being referred

Name (or 'anonymous') *

Date of birth

Preferred contact (email/phone)

Setting / context

Assistive Technology information

Reason for referral / functional goals *

Has AT been trialled before?

Urgency

Device types of interest

Relevant clinical or educational information

Clinician / referrer attachments (reports, trial notes)

Attach relevant assessment reports, program plans or consent forms. If uploads fail, email to founder@edulinked.com.au.

Consent & privacy

We will contact the person referred (or their guardian) to confirm consent before progressing. We only share information with partner clinicians and suppliers as required to arrange trials or supports.

Consent obtained?

I confirm consent has been obtained from the person referred (or their guardian) to share details and arrange an AT trial.

Accessibility & communication needs

Please provide Easy Read materials
Please provide Auslan summary / interpreter for communication

Need help? Email founder

AT trial process — what happens next

Triage & acknowledgement: we acknowledge referrals and triage urgency. Urgent referrals are flagged for contact within 48 hours; routine referrals are acknowledged within five business days.
Consent & scoping: we contact the person/guardian to confirm consent and clarify goals and context with teachers/clinicians as needed.
Assessment & match: a short scoping assessment (phone or face-to-face) to identify suitable AT options and clinician involvement.
Trial arrangement: equipment is configured for a short trial (typically 2–6 weeks). We supply trial checklists, family/school guidance and training session(s).
Review & handover: after trial we review outcomes with referrers and recommend next steps — adoption, procurement-ready specs, further clinical support, or return of equipment.

Deliverables from a standard trial include: pre-configured device, trial checklist, short training session for staff/family, trial outcomes summary and procurement notes if adoption is recommended.

AT trial — quick checklist

Clear functional goals agreed (communication, access, participation)
Consent confirmed and any safeguarding steps taken
Device configured and accessibility settings matched
Short training for staff/family and easy-to-follow guides supplied
Mid-trial check-in and final review with measurable outcomes

Frequently asked questions

Who pays for specialist devices?: Short trials are provided by EduLinked/Bellbowrie Connected or partners where available. Long-term procurement is the responsibility of the adopting organisation or family; we provide procurement-ready specifications and budgeting notes to support local purchase or funding applications.
Is a clinician required?: Some devices (e.g. eye-gaze systems) require clinical input. Where clinical support is recommended we will coordinate with local allied health partners or advise on clinician referral pathways.
What if the person is at school?: We work closely with teachers and school IT/SSO teams to ensure devices integrate with classroom practices and network configurations. We provide teacher-facing training and Easy Read classroom prompts.
How long does a trial take?: Typical trials run 2–6 weeks. Time to start depends on urgency, device availability and configuration complexity. Expect initial contact within five business days for routine referrals.
Who sees the referral?: Referral information is handled by EduLinked/Bellbowrie Connected and shared only with trusted partner clinicians, suppliers and the referrer as needed for the trial, and only with consent.

Need urgent advice?

If there is an immediate safety concern or urgent clinical need, contact emergency services or the relevant clinical team first. For urgent AT triage, mark 'Urgent' in the referral and call the program coordinator.

Contact: founder@edulinked.com.au · Phone: (07) 3333 4444

Escalation & safeguarding

If the referral includes safeguarding concerns (safety, abuse, or immediate risk), include this information in the referral and follow local safeguarding procedures. For emergencies call 000 in Australia.

Developer & admin notes

Change the form action to your Oncord/CRM endpoint to capture referrals and attachments. The form uses multipart/form-data for file uploads.
All mailto links in this template route to founder@edulinked.com.au for EduLinked program routing.
Ensure uploaded PDFs (reports, consent forms) are stored securely and that downloadable Easy Read / Auslan assets are tagged with language metadata en-AU.
If your CMS strips file inputs or input[type="date"], provide a server-side fallback or instruct users to email attachments to founder@edulinked.com.au.
Consider adding a clinician contact field or checkbox to capture whether clinical supervision is required for the trial.
Provide links to downloadable Easy Read consent / trial guides in the /downloads/ folder. Include Auslan script videos where produced.

This assistive technology referral page is part of the EduLinked Bellbowrie Connected program and follows EduLinked’s accessibility-first approach. If you would like me to generate an Easy Read referral sheet, Auslan script, clinician referral template, or a compact admin CSV export for referrals, tell me which and I will produce it.

Assistive Technology referrals — match, trial & integrate AT