LIVE [MigratedTobeInactivated] v1.0.0 CQI NDIS Estimate Form NDIS Service Estimate Form Thank you for using Skylight Mental Health Inc's estimate tool for NDIS services. You can use this tool to estimate the cost of supports you might wish to receive from Skylight, and then include this funding in your Service Request Email Which Skylight services are you interested in quoting? (you can select more than one) * Individual Support Activity Groups Therapeutic Groups Counselling One-to-One Art Therapy To estimate how much these supports might cost between now and the end of your current NDIS plan, enter your NDIS plan end date into the field below. What is the end date of your NDIS plan? Individual Support Please note, all Skylight Individual Supports must have a minimum duration of two hours. Estimated weekday costs are based off the applicable Skylight Mental Health hourly day rate, and inclusive of estimated travel charges. Booked supports ending after 8pm after charged at the higher afternoon rate. To generate an estimated cost for Individual Supports, enter below which days and times you would like to have a support, and how frequently you would like this support to occur. Actual costs may vary from estimations depending on the circumstances of individuals support. Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Add another support? Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Add another support? Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Add another support? Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Add another support? Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Add another support? Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Add another support? Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Add another support? Support Date MondayTuesdayWednesdayThursdayFridaySaturdaySunday Hours of Support Frequency every weekevery fortnightevery month Estimated Support Cost Estimated Cost per Year Total Estimated Cost of Supports per Year Total Estimated Cost of Supports until Plan End Activity Groups Which site would you be interested in attending Activity Groups at? ElizabethLimestone CoastMurraylandsMetroChristies Beach 12 Crouch St South, Mount Gambier 3/1a McHenry St Murray Bridge 73 Henley Beach Rd, Mile End 15 Elizabeth Way, Elizabeth 64 Elgin Ave, Christies Beach To estimate the cost of Activity Groups, enter your NDIS plan end date below and the programs you wish to attend. All programs occur weekly for a duration of 2.5 hours. Actual costs may vary from estimations depending on the circumstances of individuals support. Which Elizabeth supports are you interested in attending? Elizabeth - Cooking for one (Estimated cost per Program of Support: $300.6) Elizabeth - Walking (Estimated cost per Program of Support: $473.5) Elizabeth - Art (Estimated cost per Program of Support: $354.65) Elizabeth - Community Hub (Estimated cost per Program of Support: $375.41) Elizabeth - Music (Estimated cost per Program of Support: $350.38) Elizabeth - Out’n’about (Estimated cost per Program of Support: $178.7) Which Limestone Coast supports are you interested in attending? Mt Gambier Cooking for One (Estimated cost per Program of Support: $425.20) Mt Gambier Out n About (Estimated cost per Program of Support: $183.90) Mt Gambier Photography (Estimated cost per Program of Support: $694.37) Mt Gambier Social Arts and Crafts (Estimated cost per Program of Support: $497.72) Millicent Community Connect (Estimated cost per Program of Support: $570.24) Naracoorte Community Connect (Estimated cost per Program of Support: $285.12) (delivered fortnightly) Kingston SE Community Connect (Estimated cost per Program of Support: $285.12) (delivered fortnightly) Which Murraylands supports are you interested in attending? Murray Bridge Art Group (Estimated cost per Program of Support: $497.72) Murray Bridge Cooking for One (Estimated cost per Program of Support: $425.20) Murray Bridge Music Group (Estimated cost per Program of Support: $425.20) Murray Bridge Out n About (Estimated cost per Program of Support: $183.90) Murray Bridge Social Arts and Crafts (Estimated cost per Program of Support: $340.08) Murray Bridge Ten Pin Bowling (Estimated cost per Program of Support: $405.05) Murray Bridge Wellbeing (Estimated cost per Program of Support: $425.20) Lameroo Wellbeing Group (Estimated cost per Program of Support: $212.6) Which Christies Beach groups are you interested in attending? Christies Beach - Cooking for one (Estimated cost per Program of Support: $300.6) Christies Beach - Walking (Estimated cost per Program of Support: $473.5) Christies Beach - Art (Estimated cost per Program of Support: $350.7) Christies Beach - Community Hub (Estimated cost per Program of Support: $352.92) Christies Beach - Ten Pin Bowling (Estimated cost per Program of Support: $270.24) Christies Beach - Games and Social Group (Estimated cost per Program of Support: $354.65) Christies Beach - Community Connect (Estimated cost per Program of Support: $420.89) Christies Beach - Music (Estimated cost per Program of Support: $350.38) Christies Beach - Out’n’about (Estimated cost per Program of Support: $178.7) Which Metro supports are you interested in attending? Seaton - Games and Social (Estimated cost per Program of Support: $350.38) Seaton - Basic Guitar (Estimated cost per Program of Support: $300.60) Seaton  - Cooking for one (Estimated cost per Program of Support: $300.60) Clarence Park - Walking (Estimated cost per Program of Support: $473.50) Clarence Park - Art (Estimated cost per Program of Support: $350.38) Clarence Park - Music (Estimated cost per Program of Support: $350.38) Clarence Park – Cooking for one (Estimated cost per Program of Support: $300.60) Goodwood - Art (Estimated cost per Program of Support: $350.38) Goodwood - Music (Estimated cost per Program of Support: $350.38) Goodwood - Cooking for one (Estimated cost per Program of Support: $300.60) Goodwood - Walking (Estimated cost per Program of Support: $473.50) Mile End - Wellbeing and Basic Meditation (Estimated cost per Program of Support: $354.65) Mile End – Out’n’about (Estimated cost per Program of Support: $178.70) Cross Road – Ten Pin Bowling (Estimated cost per Program of Support: $270.24) Would you like to attend a set number of programs, or each program until your plan ends? A set number of programs Each program until my plan ends Estimated cost of programs until plan end Activity Groups run in 4 week blocks. How many total 4 week blocks would you like to attend? Estimated cost of specified programs Therapeutic Groups Which site would you be interested in attending Therapeutic Groups at? Mile EndElizabethChristies Beach 73 Henley Beach Rd, Mile End 15 Elizabeth Way, Elizabeth 64 Elgin Ave, Christies Beach To estimate the cost of Therapeutic Groups, enter your NDIS plan end date below and the programs you wish to attend. All programs occur weekly for a duration of 1 hour, except Art Therapy and DBT which are 1.5 hours long. All Therapeutic Groups at Skylight, except for DBT run in 6 week blocks. The estimated cost provided is for a 6 week block. Please note DBT runs for 8 weeks and therefore the estimated cost is higher. Included in the estimated price are 15 minute charges for setting up and packing up the support, except for Art Therapy which includes 30 minute set up and pack up. Actual costs may vary from estimations depending on the circumstances of individuals support. If you have not attended a particular group before, the group leader will call you to discuss the way the group works and to ensure that the group is right for you. Skylight will charge your NDIS plan for this phone call. Which Mile End supports are you interested in attending? Art Therapy (Estimated cost per 6 week block: $780.75) Sound Minds (Estimated cost per 6 week block: $468.45) Acceptance and Commitment Therapy (Estimated cost per 6 week block: $624.60) Dialectical Behavioural Therapy (DBT) Skills Group (Estimated cost per 8 week block: $832.85) Which Christies Beach supports are you interested in attending? Sound Minds (Estimated cost per 6 week block: $468.45) Which Elizabeth supports are you interested in attending? Art Therapy (Estimated cost per 6 week block: $780.75) Sound Minds (Estimated cost per 6 week block: $468.45) Dialectical Behavioural Therapy (DBT) Skills Group (Estimated cost per 8 week block: $832.85) Would you like to attend a set number of programs, or each program until your plan ends? A set number of programs Each program until my plan ends Estimated cost of programs until plan end Therapeutic Groups run in 6 week blocks. How many total 6 week blocks would you like to attend? Estimated cost of programs Counselling How frequently would you like to attend Counselling? WeeklyFortnightlyMonthly Estimated Cost per Session Estimated Cost per Year Total Estimated Cost of Supports until Plan End One-to-One Art Therapy How frequently would you like to attend One-to-One Art Therapy? WeeklyFortnightlyMonthly Estimated Cost per Session Estimated Cost per Year Total Estimated Cost of Supports until Plan End Estimated Total Cost of Supports Core funding required from current plan Improved Daily Living funding required from current plan Total NDIS funding required from current plan Send Estimate as an Email If you are human, leave this field blank.