An AHPRA-registered OT assesses your home and writes the evidence-based report needed to fund and approve modifications. We come to you.
Modifying a home to suit someone's changing mobility or function isn't something a tradie can quote from a phone call. It starts with an OT home assessment: a qualified clinician visiting the property, understanding the person's functional needs, and producing a report that justifies each modification to your funding body. Our mobile OTs cover the full range, from minor fittings like grab rails and threshold ramps through to complex modifications like bathroom remodelling, step removal and hoist systems. We work with Home Care Package providers, CHSP coordinators, DVA case managers and private clients.
You'll speak with one of our AHPRA-registered OTs.
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Home modification assessments for older adults
AHPRA-registered OTs
HCP & CHSP funded
DVA Gold & White Card
Minor & complex mods
Home visits across 4 states
Older Adult OT · Home modifications
From initial visit to approved modifications: how it works
A home modification assessment is not a tradie quoting a job. It's a clinical assessment by an AHPRA-registered OT who understands both the person's functional needs and what your funding body requires to approve the work. The report we produce is what your HCP provider, CHSP coordinator or DVA case manager needs before they can release funds or engage contractors. Here is what the process actually involves.
Initial home environment assessment
Your OT visits the property and assesses each area relevant to the person's daily routine: entry, bathroom, toilet, bedroom, kitchen, laundry, living areas and outdoor paths. They observe the person moving through each space, assess their transfers and mobility in context, take measurements and photograph the relevant areas. This takes roughly 60 to 90 minutes and covers both functional need and structural opportunity.
Minor modifications
Minor modifications are those that don't require structural building work: grab rail installation (bathroom, toilet, hallway, steps), threshold ramps, non-slip surface treatments, lever tap fittings, handrails on existing steps, improved lighting and door handle changes. These are commonly funded at HCP Level 1 or 2 and are often the first modifications recommended. Your OT specifies the type, placement and height of each fitting.
Major modifications
Major modifications involve structural or significant building work: wet-area bathroom conversions (removing a bath and remodelling as a walk-in shower), step removal, ramp construction, doorway widening, ceiling hoist tracking, kitchen adaptations and stairlift installation. These typically require HCP Level 3 or 4 and DVA approval. Your OT report provides the clinical rationale, specification and expected functional outcome for each modification.
HCP, CHSP and DVA documentation
Your OT produces a written report that meets the documentation requirements of your funding body. For HCP clients, the report supports the provider in approving and budgeting the modifications. For DVA Gold Card holders, the report initiates the DVA-contracted modification process. For CHSP clients, the report is submitted to the relevant regional service. The report specifies each modification, the clinical justification and the standard required.
Supplier and contractor coordination
The OT report is the clinical document. Arranging the contractors is usually the funding body's role. However, our OTs are happy to liaise with your HCP provider, DVA case manager or the contracted builder to clarify clinical requirements and ensure the work is done to the intended specification. For private clients, we can provide guidance on what to look for in a contractor and what questions to ask about the standard of installation.
Post-installation review
Once modifications are installed, a brief OT review confirms that the work meets the clinical intent and that the person is using it safely and confidently. Grab rails at the wrong height or a ramp with too steep a gradient can undermine the whole purpose. The review also identifies whether the person needs any practice or assistance to integrate the modification into their daily routine.
How it works
Getting started with a mobile OT
Whether NDIS, aged care, DVA or private, the admin can feel complicated. We handle the paperwork and explain the funding options in plain English so you can focus on the person, not the process.
01
Call us or request a callback
Phone (07) 3477 9366 or drop your details in the form. Our intake team usually responds within one business day. We'll ask about age, goals, funding and where you're based.
02
Matched with the right Occupational Therapist
We pair you with an AHPRA-registered OT experienced in your context: paediatric, adult, older adult, rehab or reports. You know who's coming, and why they're the right fit.
03
Mobile OT, we come to you
Your OT visits you at home, at school, at work or in the community. We build a personalised plan, document progress, and coordinate with your supports, GP or support coordinator.
Meet the team
The people behind every visit
Our Occupational Therapists are AHPRA-registered, supported by OT assistants, a psychologist, a speech pathologist and a warm admin team who'll be your first point of contact. Small enough to know your name, big enough to match you with someone whose experience fits your goals.
AHPRA-registered OTs
SPA Certified Speech Pathologist
Coverage across QLD, NSW, VIC, TAS
Tell us your preferences: gender, language, cultural background, clinical
experience. We'll match you with a clinician who fits.
Transparent pricing
No surprises on your invoice
We can't list fixed prices publicly. What you pay depends on your funding stream, the service, and your location. But every Astrad client gets the same three things, in writing, before any visit is booked.
Every client gets a clear written quote setting out session rates, expected travel time and any reports, before we schedule a single visit.
Within NDIS price limits
For NDIS participants we bill within the limits set out in the current NDIS Pricing Arrangements and Price Limits. No surprises at invoice time.
Travel disclosed up front
Travel and non-face-to-face time are always quoted in writing, at the rates allowed for your funding stream. What you see is what you pay.
Coverage
Mobile OT across four states
Our Occupational Therapists travel to you. At home, at school, at work or in the community. We cover metro and many regional areas across Queensland, NSW, Victoria and Tasmania. Not sure if we reach your postcode? Ask us. We usually confirm within one business day.
Families, home care providers and HCP case managers ask us these questions regularly. If you need more detail, call us.
Why do I need an OT report for home modifications? Can't a builder just assess it?
Your funding body (HCP provider, CHSP, DVA) requires an OT assessment report to approve modifications, because the modifications need to be clinically justified based on the person's functional needs rather than just what looks easy to install. The OT report specifies exactly what is needed, why it's needed, and what the expected functional outcome is. Without it, a funding body won't approve the spend, and a builder won't know what clinical standard the work needs to meet.
What modifications can an OT recommend?
Minor modifications: grab rails (bathroom, toilet, hallway), threshold ramps, non-slip surfaces, handrails on steps, improved lighting, lever handles and tap fittings, door widening. Complex modifications: bathroom remodelling (wet-area conversion, lowered fixtures), ramp construction, ceiling hoist systems, stairlift installation, step removal, kitchen adaptations. Our report specifies the modification, the clinical rationale, the location, and the standard required.
Does a Home Care Package cover home modifications?
Yes. Minor home modifications are fundable from HCP Level 2 upwards; complex modifications typically require Level 3 or 4. The home care provider manages the funding, coordinates the OT assessment, and then arranges the approved tradespeople. If your family member doesn't yet have an HCP but is on the waiting list, we can still carry out an assessment so the report is ready to action the moment the package is activated.
Can DVA fund home modifications for veterans?
Yes. DVA Gold Card holders can access OT home modification assessments and the modifications themselves at no cost to them, provided the modifications relate to accepted conditions or general frailty. White Card holders may also be eligible depending on their conditions. We can liaise directly with the DVA-contracted home modification provider in your area.
How long does an OT home modification assessment take?
Most visits take 60 to 90 minutes. We walk through the entire home, assess the client's transfers and mobility in each area, take measurements, photograph the relevant spaces and discuss the client's goals and routine. The written report is typically completed within five to seven business days. Urgent cases (post-hospital discharge, imminent safety risk) are prioritised.
Do you also organise the modifications, or just write the report?
Our role is the clinical assessment and report. The actual modifications are arranged through the funding body (your HCP provider, CHSP coordinator or DVA) who engages approved tradespeople. However, we're happy to liaise with the provider or builder to clarify the clinical requirements and ensure the work meets the intent of the report. For private clients, we can provide a list of suppliers and contractors where helpful.
Can a family member just add grab rails without an OT assessment?
For privately funded minor mods, yes, there's no legal requirement for an OT report. But for anything funded through HCP, CHSP or DVA, the OT report is a mandatory step. And even for private modifications, an OT assessment ensures rails are placed in the right position and at the right height for the specific person, which matters a lot for how effective they actually are.
Ready when you are
Get the OT report your home modification funding requires
Our mobile OTs visit properties across QLD, NSW, VIC and TAS, assess the home and the person, and write the report your HCP provider, CHSP coordinator or DVA case manager needs to approve the work. Call us to discuss the referral or fill in the callback form.