Templates / Form

Change of Circumstances and Reassessment Note

A note template for recording changes in needs, risks, informal supports, or service requirements.

Who it is for

Care managers and coordinators identifying when a client may need review, reassessment, or service adjustment.

When to use it

Use when workers, family, or the client report a meaningful change in circumstances or support needs.

What this template helps with

Clear worker notes
Consistent records
Easier follow-up

Example content

Change details: - Client name: - Date identified: - Reported by: - Type of change: - Immediate risk or concern: Current impact: - Services affected: - Client goals or preferences affected: - Informal supports affected: - Equipment or home environment affected: Next steps: - Coordinator action: - Referral or reassessment considered: - Client or representative discussion: - Follow-up date:

Disclaimer

These resources are provided for general operational documentation and educational purposes only. They do not constitute legal, clinical, medical, compliance, or professional advice. Organisations should review and adapt all documents according to their own policies, procedures, registration requirements, funding arrangements, and regulatory obligations.