Associated Providers Staff Incident Report Form

Reporting a change in condition, incident or accident is critical in ensuring Ballarat Community Health can continue to safely support a client’s care needs and manage their home care package effectively. An incident or accident may relate to an event that occurred whilst receiving care services or not.

Third parties providing services to BCH Home Care Package Management clients must use this form to report an incident to Ballarat Community Health, unless otherwise specified in their Service Agreement.

The Care Management team will contact the client and their representative (if applicable) to discuss the matter and determine the most appropriate course of action.