NDIS Service Agreement

1. Parties

This Service Agreement is for:

a participant in the National Disability Insurance Scheme (client), and is made between:

2. The NDIS and this Service Agreement

This Service Agreement is made for the purpose of providing supports under the clients NDIS plan.

 A copy of the clients NDIS Plan is/is not attached to this Service Agreement. The parties agree that this Service Agreement is made in the context of the NDIS, which is a scheme that aims to:

• support the independence and social and economic client of people with disability; and

• enable people with a disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their supports.

• NDIS plan to be provided to [Practice Name]

3. Schedule of supports

[Practice Name] agrees to provide the client Physiotherapy services . The supports and their prices are set out in the attached Schedule of Supports. All prices are GST inclusive (if applicable) and include the cost of providing the supports. Additional expenses (i.e. things that are not included as part of a client NDIS supports) are the responsibility of the client / clients representative and are not included in the cost of the supports.

4. [Practice Name] Responsibilities

[Practice Name] agrees to:

• review the provision of supports at least annually with the client;

• once agreed, provide supports that meet the client's needs at the client's preferred times;

• communicate openly and honestly in a timely manner;

• treat the client with courtesy and respect;

• consult the client on decisions about how supports are provided;

• give the client information about managing any complaints or disagreements and details of [Practice Name]  cancellation policy;

• listen to the client’s feedback and resolve problems quickly;

• give the client a minimum of 24 hours notice if [Practice Name] has to change a scheduled appointment to provide supports;

• give the client the required notice if [Practice Name] needs to end this Service Agreement (see "Ending this Service Agreement" below for more information);

• protect the client's privacy and confidential information;

• provide supports in a manner consistent with all relevant laws, including the NDIS Act 2013 and Rules, and the Australian Consumer Law;

• keep accurate records on the supports provided to the client; and

• will issue invoices and statements of the supports delivered to the participant as per the NDIA  Terms of Business for Registered Providers  as requested  

5. Responsibilities of the client / client representative

The client / client representative agrees to:

• inform [Practice Name] about how they wish the supports to be delivered to meet the client needs;

• treat [Practice Name] workers with courtesy and respect;

• talk to [Practice Name] if the client has any concerns about the supports being provided;

• give [Practice Name] the required notice if the client cannot make a scheduled appointment, noting that if the notice is not provided , [Practice Name]cancellation policy will apply;

• give [Practice Name] the required notice if the client needs to end this Service Agreement (see 'Ending this Service Agreement' below for more information); and

• let [ Practice Name] know immediately if the client NDIS plan is suspended or replaced by a new NDIS plan, or the client stops being a participant in the NDIS.
  

6. Payments

[Practice Name] will seek payment for their provision of supports after the supports have been delivered.

7. Changes to this Service Agreement

If changes to the supports or their delivery are required, the parties agree to discuss and review this Service Agreement. The parties agree that any changes to this Service Agreement will be in writing, signed and dated by the parties.

8 Ending this Service Agreement

Should either party wish to end this Service Agreement they must give 2 weeks notice. If either party seriously breaches this Service Agreement the requirement of notice will be waived.

9. Feedback, complaints and disputes

If the client wishes to give [Practice Name] feedback or is not happy with the provision of supports and wishes to make a complaint, the participant can talk to Name on 0400 000 000 or email

If the client is not satisfied or does not want to talk to this person, at any time, they can make a complaint to the NDIS Commission. Complaints to the NDIS Commission can be lodged:

• online at www.ndiscommission.gov.au; or

• by phone on: 1800 035 544.

10. Goods and Services Tax (GST)

For the purposes of GST legislation, the Parties confirm that:

• a supply of supports under this Service Agreement is a supply of one or more of the reasonable and necessary supports specified in the statement included, under subsection 33(2) of the NDIS Act, in the client's NDIS Plan currently in effect under section 37 of the NDIS Act;

• the client's NDIS Plan is expected to remain in effect during the period the supports are provided; and

• the client / client representative will immediately notify the provider if the client's NDIS Plan is replaced by a new plan or the client stops being a participant in the NDIS.

11. Cancellation Policy

At [Practice Name] we value consistent and high quality intervention. If you need to cancel an appointment it is recommended it occur before 3pm on the day before your appointment to avoid a cancellation fee. If you contact [Practice Name]  after 3pm the day before your appointment or on the day of your appointment there will be a cancellation fee of 90% charged to your account and payment due at your next appointment. Should your therapist arrive at your scheduled appointment and you and your child are not at home or at the location of the appointment with no prior notice, the scheduled session including travel will be charged at 100% of the scheduled fee for that session. Where [Practice Name]  cancels a support due to operational reasons, the service will be rescheduled at no penalty to either party.Where multiple cancellations or no shows occur in a 12-month period, [Practice Name]  will initiate contact with the family and their support network to establish the supports we are providing are best suited to the family dynamics and the needs of the child.

12. Contact details

The Client Representative can be contacted on:

[Practice Name]  can be contacted on:

13. Schedule of supports

I/we agree to pay for treatment/ therapy sessions provided by [Practice Name]  through claiming against the National Disability Insurance Scheme (NDIS) service plan. Working with the NDIS we have been allocated physiotherapy funding for the service year (enter service dates)

The Provider agrees to provide the client physiotherapy services for the duration of the agreement at the scheduled rate. These include

• Physiotherapy assessment and treatment

• Clinically relevant communications including phone calls/written programs/communication with other health professionals (any task that takes more than 10 minutes will be invoiced)

• Attendance at team meetings/case conferences

• Assessment and trial of equipment as required

• Any reports, forms or letters as required by the NDIS or requested by the client / client representative

• Cancellation charges for late notice or no show appointments

[Practice Name] reserves the right NOT to provide service or to cancel any future appointments for the client if you do not have sufficient funds in your plan or the plan expires. Any service fees not met by NDIS will be covered by your client / client representative.

Price & Payment Information

Therapy and travel will be charged at $###.## per hour. Each therapy session will also incur up to the below minutes travel charge. 

All prices will be adjusted if there is any change in the NDIS price guide during the service agreement period. 

[Practice Name] will claim funding from the following support category:  CB Daily Activity if agency managed

1 4. Agreement signatures

The parties understand and agree to the terms and conditions of this Service Agreement.