Complete Choice

0414 890 464 / 0466 057 770

info@completechoice.com.au

39 John St, Salisbury, SA 5108

F28 NDIS Service Agreement SC and others

F28 NDIS Service Agreement SC and others

NDIS SERVICE AGREEMENT

This Service Agreement is made for the purpose of providing supports under the
Participant’s National Disability Insurance Scheme (NDIS) plan. 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 participation 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.
A copy of the Participant’s plan is attached (optional): Yes/No
SCHEDULE OF SUPPORTS
The Provider agrees to provide the Participant (please see attached individualised
service costs associated with services)

1. Support Coordination:

2 Psychosocial Recovery Coaching/Peer Support :

3 Increased Community Participation:

4 Core Daily Living

5 Core Community Social Civic Participation

6 Gardening / Yard Maintenace

Transportation $1 per KM will be charged
All prices are GST inclusive (if applicable) and include the cost of providing the
supports.
PAYMENTS
The Provider will seek payment for their provision of supports (delete options not
relevant)
1. If the funding for any of the supports provided under this Service Agreement is
managed by the Participant and/or Participant’s Nominee:
The Participant/Participant’s Nominee has chosen to self-manage the funding for
NDIS supports provided under this Service Agreement. After providing those
supports, the Provider will provide a tax invoice for those supports.
2. If the funding for any of the supports provided under this Service Agreement is
managed by the National Disability Insurance Agency:
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.
3. If the funding for any of the supports provided under this Service Agreement is
managed by a Registered Plan Management Provider:
The Participant has nominated the Plan Management Provider _________________

The Parties agree that any changes to this Service Agreement will be in writing,
signed, and dated by the Parties.
The Participant/Participant’s representative agrees to:
 be responsible for ensuring the equipment purchased falls within the
guidelines of the participant’s plan
 ensure there are sufficient funds in the participant’s budget to purchase the
equipment requested
 treat the provider with courtesy and respect
 talk to the provider if the participant has any concerns about the supports
being provided
 give the provider the required notice if the participant needs to end the
Service Agreement (see ‘Ending this Service Agreement’ below for more
information), and
 let the provider know immediately if the participant’s NDIS plan is suspended
or replaced by a new NDIS plan or the participant stops being a participant in
the NDIS.
The Provider agrees to:
 once agreed, provide supports that meet the participant’s needs in a timely
manner
 advise of any delays or backorders with equipment orders
 communicate openly and honestly
 treat the participant with courtesy and respect
 consult the participant on decisions about how supports are provided
 give the participant information about managing any complaints or
disagreements if required
 listen to the participant’s feedback and resolve problems quickly
 give the participant the required notice if the provider needs to end the
Service Agreement (see ‘Ending this Service Agreement’ below for more
information)
 protect the participant’s privacy and confidential information
 provide supports in a manner consistent with all relevant laws, including the
National Disability Insurance Scheme Act 2013 and rules, and the Australian
Consumer Law; keep accurate records on the supports provided to the
participant
 issue tax invoices of the supports delivered to the participant.
ENDING THIS AGREEMENT
Should either Party wish to end this Service Agreement they must give 5 business
days’ notice. If either Party seriously breaches this Service Agreement the
requirement of notice will be waived. If Complete Choice want to end this
agreement, they must tell you in writing and give you 28 days’ notice.
HOW TO CHANGE A SERVICE AGREEMENT
 Changes can be in writing, text or email or in person.
 You and Complete Choice need to agree on the changes (can Complete
Choice accommodate the changes?).
 You may need to sign a new document saying that you agree with the
changes.
FEEDBACK. COMPLAINTS AND DISPUTES
If the Participant wishes to give the Provider feedback, report faulty products or has
and issue with delivery the Participant can use the Provider contact details listed
below.
23 Kent Road Macdonald Park SA 5121
Contact number 0466057770 Compliance Manager
0414890464 Director
If you do not have any success in getting your problem fixed, you can contact the
NDIA on 1800 800 110, visit one of their offices or visit the NDIS Website.
CONTACT DETAILS
The participant / the Participant’s representative can be contacted on:

The provider can be contacted on:

Maximum file size: 516MB

All parties agree to the terms and conditions of this agreement

Maximum file size: 15MB

Maximum file size: 15MB

for and on behalf of Complete Choice

Maximum file size: 15MB