How to write an NDIS progress note

The short answer

A good NDIS progress note records what happened during your shift, factually and objectively, and links it to the participant's goals. Write it in plain language soon after the shift, and keep fact separate from opinion. This helps the next worker and the wider team support the participant well.

Sources
NDIS Practice Standards
NDIS Code of Conduct

What to include

A progress note records what happened during your shift and how it relates to the participant's goals. Include the date, time and length of support, what you did and what the participant did, how they responded, any changes in health or behaviour, and any follow up needed. Note the supports delivered against the participant's plan so the record is useful to the wider team.

How to write it well

Write in plain language and keep to the facts. Describe what you saw and heard rather than what you assumed. If you record an opinion, label it as one and give the observation behind it. Write the note as soon as possible after the shift while details are fresh, and use the participant's own words where relevant.

Common mistakes to avoid

Avoid vague notes such as good day, no issues, which tell the next worker nothing. Do not copy and paste yesterday's note, use labels or judgements about the person, or leave out incidents. Keep the note respectful, since participants can request their records. Follow your provider's template and documentation policy.

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