NDIS Functional Capacity Assessment Reports: An OT and Allied Health Guide
NDIS Functional Capacity Assessments (FCAs) test access to the scheme and inform funding decisions. The report structure must satisfy the access criteria under s 24 of the NDIS Act and the early-intervention criteria under s 25, while providing the granular detail planners use to size supports.
Summary
NDIS Functional Capacity Assessment (FCA) reports serve two purposes: providing access evidence under s 24 (or early intervention under s 25) and informing the size and shape of supports in the participant's plan. A defensible FCA names the assessment tools used, addresses the six functional domains, and ties findings to specific support recommendations.
The two-purpose framing
- Access evidence — does the participant meet the disability or early-intervention requirements?
- Planning evidence — what supports are reasonable and necessary?
Some reports are commissioned for one purpose only; many are commissioned for both. The structure adapts but the core sections are common.
Standard structure
- Identifying information, referrer, purpose.
- Background — diagnoses, history, current supports.
- Sources — interview, observation, standardised assessments, file review, collateral.
- Standardised assessments — named, scored, interpreted (commonly: WHODAS 2.0, AMPS, Vineland-3, COPM, FIM).
- Functional capacity by NDIS domain:
- Mobility
- Communication
- Social interaction
- Learning
- Self-care
- Self-management
For each domain: current capacity, supports currently used, capacity with and without support, change over time, prognosis.
- Disability impact — how the impairment(s) affect functional capacity.
- Permanence statement (s 24) or early-intervention case (s 25).
- Recommended supports — type, frequency, duration, cost rationale.
- Goal-aligned outcomes — what would change with the recommended supports.
- Limitations and reviewer-reading notes.
Domain-level detail
NDIA planners read by domain. Each domain section should include:
- A baseline narrative.
- The standardised score(s) with interpretation.
- Specific examples of capacity (e.g. "Showers independently in a step-in shower with rails; cannot transfer in/out of a bath; requires verbal prompting to apply soap").
- The supports currently in place.
- The supports recommended.
Vague domain descriptions ("communication is difficult") do not size supports.
Related reading
How we review this guide
Library guides reference original Australian source authorities — not secondary commentary — and are updated when source material changes. Each guide cites the regulator, item descriptor, or governing standard it draws from so you can verify it directly.
- Sources checked
- NDIS Quality and Safeguards Commission
- Review cadence
- Reviewed annually and whenever a cited source authority publishes a material change. Last reviewed .
- Not advice
- Reference content for Australian practitioners and education staff. Not legal, clinical, or billing advice — verify against your governing body and current source documents.
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