ndis registered providers list qld

Service Agreement

Service Agreement

This Service Agreement is made between the Participant and the Provider – Yiga Ability Care. This Service Agreement can be made between the Participant and/or the Participant’s representative and Yiga Ability Care. The Participant’s representative can be a family member, friend, or someone close to the Participant who can manage the funding for supports. Some details on this Service Agreement may have been filled out before, please submit the information again to reconfirm.

    Participant Details




    Funding Details





    Plan Nominee / Guardian Details



    Risk Assessment










    Plan-specified goals & clinical goals





    Planned Interventions & Finance







    Emergency or Disaster Arrangements



    • Clinician is on leave or is unwell

    • Client is on leave or is unwell

    Agreement Review Date


    Participant's Consent


    Participant's Consent











    Terms and Conditions

    Costs



    Payment


    • The Participant has chosen to Self-Manage the funding for NDIS supports provided under this Service Agreement.

    • After providing those supports, the Provider will send the Participant an invoice for those supports.

    • The Participant can pay the invoice by EFT, credit card, cash or cheque within 7 days with the terms outlined in the invoice.

    • If the invoice remains unpaid after 2 weeks, services will cease until payment of all invoices is made.

    • The Participant’s Nominee manages the funding for supports provided under this Service Agreement.

    • After providing those supports, the Provider will send the Participant’s Nominee an invoice for those supports for the Participant’s Nominee to pay.

    • The Participant’s Nominee can pay the invoice by EFT, credit card, cash or cheque within 7 days with the terms outlined in the invoice.

    • If the invoice remains unpaid after 2 weeks, services will cease until payment of all invoices is made.

    • The Participant has nominated the NDIA to manage the funding for supports provided under this Service Agreement.

    • After providing those supports, the Provider will claim payment for those supports from the NDIA.

    • The Participant has nominated a Registered Plan Management Provider to manage the funding for NDIS supports provided under this Service Agreement.

    • After providing those supports, the Provider will claim payment for those supports from the Registered Plan Management Provider.

    • If the invoice remains unpaid after 2 weeks, services will cease until payment of all invoices is made..

    Cancellation





    Additional Expense

    Agreement Signatures

    Participant or Participant's Representative (if applicable)



    Provider