NDIS service agreement

To open an NDIS account with Allcare Warehouse, complete the NDIS service agreement form below. You will need the participant's NDIS number, plan start and finish dates, how the plan is managed and a PDF copy of the NDIS plan. If you would rather not fill it in online, email the details to [email protected].

Responsibilities of Provider

The provider agrees to:

  1. Once agreed, provide supports that meet the participants’ needs at the participants’ preferred times.
  2. Communicate openly and honestly in a timely manner. 
  3. Treat the participant with courtesy and respect.
  4. Consult the participant on the decision about how supports are provided.
  5. Listen to the participants’ feedback and resolve problems quickly.
  6. Give the participant the required notice if the provider needs to end the service agreement. 
  7. Protect the participants’ privacy and confidential information.

Responsibilities of Participant/Participants Representative

  1. Inform the provider about how they wish the supports to be delivered to meet the participants’ needs. 
  2. Give the provider the required notice if the participant needs to end the service agreement. 
  3. Let the provider know immediately if the participants NDIS plan is suspended or replaced by a new NDIS plan or the participant stops being a participant in the NDIS.
  4. To provide adequate information to the provider so a service booking can be made, and funds claimed whilst remaining under budget.

Payments

The participant has nominated the NDIA to manage the funding for supports provided under this Service Agreement. After providing supports, Allcare Warehouse will claim payment for those supports from the NDIA. If Allcare Warehouse is unable to claim the order amount from NDIS the participant will be liable for balance on the account. 

Drag & Drop Files, Choose Files to Upload
If unable to upload, please send a copy of the Participant’s NDIS plan separately to this application by sending an email of ALL pages to [email protected]
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