Service Agreement

We are looking forward to working with you closely to achieve your child's goals.



Client Details

Please enter your child's name.


Carer Details


Expectations

Purpose

This service agreement is made for the purpose of providing effective holistic services for your child. For National Disability Insurance Scheme (NDIS) participants the parties agree that this service agreement is made in the context of the NDIS which aims to:

Support the independence, social and economic participation of people with a disability (or disabilities), 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.


What to Expect from us:

  • We will ensure effective communication.

  • We will send you SMS reminders 48 hours before your appointment.

  • We will ensure that we set goals which are guided by you for therapy intervention and/or participatory in our group sessions.

  • We will review our goals regularly together with you and assess our progress and outcomes as a team.

  • We will provide you with quality and holistic therapy services and will ensure that we are providing you with information and education at all times. Services will be provided through different means including Centre and Remote Capacity Building support. 

  • We will issue regular invoices and statements of services delivered to you.

  • We will ensure that all services are in line with updated best practice and newest research methodologies. 

  • We will provide each family with a Family Coordinator to ensure you are being looked after and receive the education and training you require to be your child's best therapist. 


What we Expect from you:

  • Please provide us with any relevant assessments or paper work that will best help us prepare for quality intervention.

  • We expect you to be an active participant of the team. You will guide us and educate us on your child and family.

  • When unable to attend an appointment please let us know within 48 hours of your appointment or fees may apply. All cancellations need to be communicated with only the administration team.

  • Please communicate with us regarding how things are progressing at home, if you are having any difficulties with the therapy intervention programs, or if there are other things going on in the family that we need to consider.

  • We appreciate all participation with feedback, comments and suggestions. We respect this is your child and your journey and we are here to help.

  • For NDIS participants, services cannot be provided without the provision of an NDIS Plan. Please ensure this is provided immediately upon receipt of your NDIS Plan.

  • For Medicare participants, rebates cannot be applied without receiving your care plan documents prior to appointments.

  • All invoicing and costs associated with services are your responsibility and need to be paid at the time of service. If invoices are not paid at the time of service, we reserve the right to apply a late fee. 


Group Programs

Let's plan for the year ahead

Please note a Group Enrolment form is required to secure your child's place in the desired program. Group Programs are subject to availability.


Therapy Treatment Plan

Family Time Australia provides therapeutic services with Speech Pathology, Occupational Therapy, Psychosocial Therapy and Nutritional Therapy.

The treating therapist will support with identifying the most appropriate therapy plan including the following details:

Therapy service required

- Joint sessions

- Individual sessions

- Frequency

- Specified number of sessions with a relevant health professional


Coaching & Education Support

Therapists at Family Time Australia are expertly trained to be a “guide on the side” and follow the National Guidelines for Best Practice in Early Childhood Intervention by incorporating Coaching and Education as part of your therapy plan.  

The purpose of Coaching & Education is to "build the capacity of the family, professionals and community through coaching and collaborative teamwork. The goal is to build the knowledge, skills and abilities of the individuals who will spend the most time with the child in order to have as great an impact as possible on the child’s learning and development.”

My Family Coordinator will provide guidance around the coaching and education required and work closely with my therapy team to best support my child and family.  


School Visits


Home Visits


Do you currently access other sevices?


Do you require any other supports?



I understand the above therapy plan may require changes. All changes to the therapy treatment plan needs to be agreed together with your Family Coordinator.


Funding

Chronic Disease Management Plan (CDMP)


Mental Health Care Plan (MHCP)


Helping Children with Autism (#135)


Private Health


National Disability Insurance Scheme (NDIS)

Browse

National Disability Insurance Scheme (NDIS)

There are a number of ways your NDIS Plan can be managed.


Self Managed:
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 for the participant to pay. The participant will pay the invoice on the day of service provision by EFTPOS or direct deposit.

Plan Managed:
The participant has nominated a Plan Management Provider to manage the funding for NDIS supports provided under this Service Agreement. After providing those supports, the provider will claim payments for those supports from the Plan Manager.


How is your NDIS Plan managed?

Plan Manager Details


Initial Consultaion

I understand and agree to the costs associated with the Initial Consultation according to the Family Time Australia Price List.


Agreement

Therapeutic Intervention and Support

To ensure that my treatment plan and therapy intervention is in line with the best practice and to enable effective and quality service provision, I understand that units of service will be required for:

- Treatment Planning

- Therapeutic education to family members, other therapists, teachers/educators and others involved in your child's daily life. This education can be written, face to face or via telehealth and/or phone consults

- Support and advocacy for NDIS Planning Reviews

All therapeutic intervention and supports will be invoiced for in line with adhering to best practice policies.


Confidentiality

All discussions will be treated with professional confidentiality.

Exceptions occur when law may require disclosure of information where there is:

- Suspected child abuse or neglect, past or present

- Immediate, specific risk of harm to any individual

- Subpoena of files by a court

- If a significant crime had been committed



Recording and Storing Information

- Notes will be taken during sessions and placed on your file.

- All files are kept in secure storage


Cancellation Policy

We understand that daily life and challenges can complicate attending your appointment.

In the event that you cannot attend your appointment, please provide 48 hours notice.

If you do not provide 48 hours notice or do not attend your appointment a fee will be applied.

Cancellation fees are not covered under certain funding bodies or rebates. You will be entitled to the current NDIS cancellation policy if you are an NDIS client.

We trust that you understand that as a growing business your therapists time is valuable and we endeavour to provide quality services to our families and reduce waiting periods. Thank you kindly and we look forward to working with you.


Please note any cancellations or rescheduling of appointments need to be directed to Family Time administration team on reception@familytimeaustralia.com or 08 7221 2322. 


Ending this Service Agreement

Should either party wish to end this Service Agreement, they must give 1 month notice. If either party seriously breaches this Service Agreement, the requirement of notice will be waived.

By electronically signing, I agree to this service agreement with Family Time Australia.


Draw signature|Type signatureClear