SPEECHCARE SERVICE AGREEMENT

New Clients: Please fill out this Service Agreement before your first appointment with us.

If you have trouble filling out the form, please call us on 07 3395 4400. If we can’t answer, leave a message and we will be in touch with you as soon as we can.

To complete this form, you may need to upload reports or you can email them later to admin@speechcare.com.au.

1. This Service Agreement is for the Client:

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

and Speechcareâ„¢.
2. The NDIS and this Service Agreement

This Service Agreement is made for the purpose of providing supports under the client's 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 disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their supports.
3. Schedule of Supports

Speechcareâ„¢ agrees to provide the client with therapy services.

  • The supports and their prices are set out in the attached Schedule of Supports.
  • All prices are GST inclusive (where applicable) and include the cost of providing the supports.
  • Any additional expenses that are not included as part of the client's NDIS-funded supports are the responsibility of the client or their representative and are not included in the cost of the supports.
4. Speechcareâ„¢ Responsibilities

Speechcareâ„¢ agrees to:

  • Review the provision of supports with the client at least annually.
  • 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.
  • Provide the client with information about managing complaints or disagreements and details of Speechcareâ„¢'s cancellation policy.
  • Listen to the client's feedback and resolve problems promptly.
  • Provide the client with a minimum of 24 hours' notice if Speechcareâ„¢ needs to change a scheduled appointment.
  • Provide the client with the required notice if Speechcareâ„¢ 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, NDIS Rules, and the Australian Consumer Law.
  • Keep accurate records of the supports provided to the client.
  • Issue invoices and statements for supports delivered to the participant in accordance with the NDIA Terms of Business for Registered Providers, as requested.
5. Responsibilities of the Client / Client Representative

The client or client representative agrees to:

  • Inform Speechcareâ„¢ how they wish the supports to be delivered to best meet the client's needs.
  • Treat Speechcareâ„¢ staff with courtesy and respect.
  • Talk to Speechcareâ„¢ if they have any concerns about the supports being provided.
  • Provide Speechcareâ„¢ with the required notice if the client cannot attend a scheduled appointment, noting that Speechcareâ„¢'s cancellation policy will apply if sufficient notice is not given.
  • Provide Speechcareâ„¢ with the required notice if the client wishes to end this Service Agreement (see "Ending this Service Agreement" below for more information).
  • Notify Speechcareâ„¢ immediately if the client's NDIS Plan is suspended, replaced by a new NDIS Plan, or if the client ceases to be an NDIS participant.
6. Payments

Speechcareâ„¢ will seek payment for their provision of supports after the supports have been delivered.

Funding Type
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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. Any changes to this Service Agreement must be made in writing and signed and dated by both parties.

8. Ending this Service Agreement

Should either party wish to end this Service Agreement, they must provide two (2) weeks' written notice. If either party seriously breaches this Service Agreement, the notice period may be waived.

9. Feedback, Complaints and Disputes

If the client wishes to provide feedback or is unhappy with the supports being provided, they can contact Speechcareâ„¢ on 07 3395 4400 or via email at admin@speechcare.com.au.

If the client is not satisfied with the outcome or does not wish to raise the matter directly with Speechcareâ„¢, they may make a complaint to the NDIS Quality and Safeguards Commission at any time.

Complaints can be lodged:

  • Online at www.ndiscommission.gov.au
  • By phone on 1800 035 544
10. Goods and Services Tax (GST)

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

  • The supports provided under this Service Agreement are reasonable and necessary supports specified in the participant's NDIS Plan in accordance with the NDIS Act.
  • The participant's NDIS Plan is expected to remain in effect during the period the supports are provided.
  • The client or client representative will immediately notify Speechcareâ„¢ if the participant's NDIS Plan is replaced by a new plan or the participant ceases to be an NDIS participant.
11. Cancellation Policy

At Speechcareâ„¢, we value consistent attendance and high-quality intervention.

  • If you need to cancel an appointment, we recommend notifying us before 3:00 pm on the business day prior to your appointment to avoid a cancellation fee.
  • Cancellations received after 3:00 pm on the business day prior to the appointment, or on the day of the appointment, may incur a cancellation fee of up to 90% of the scheduled service fee.
  • If your therapist arrives at the scheduled appointment location and you or your child are unavailable without prior notice, the full scheduled session fee, including travel where applicable, may be charged.
  • If Speechcareâ„¢ cancels a support due to operational reasons, the service will be rescheduled at no cost to either party.
  • If multiple cancellations or non-attendances occur within a 12-month period, Speechcareâ„¢ may contact the family and relevant support network to review whether the current service arrangements remain appropriate for the participant's needs.
Acknowledgement - Cancellation Policy
12. Contact Details

The Client Representative can be contacted on:

Name
Home Address
Postal Address (if different from Home)
Speechcareâ„¢ Details:
13. Schedule of Supports

Speechcareâ„¢ agrees to provide therapy services for the duration of this Service Agreement.

Speechcareâ„¢ reserves the right to suspend services or cancel future appointments if sufficient NDIS funding is not available or if the participant's plan has expired. Any fees that cannot be claimed from the NDIS remain the responsibility of the client or client representative.

Supports may include:

  • Assessments and therapy sessions.
  • Clinically relevant communication, including phone calls, written programs and communication with other health professionals. Tasks exceeding 10 minutes may be invoiced.
  • Attendance at team meetings and case conferences.
  • Assessment and trial of equipment where required.
  • Reports, forms and letters requested by the NDIS or the client/client representative.
  • Cancellation fees for late cancellations or non-attendance.
Price & Payment Information - Individual Therapy Sessions

Prices may be adjusted if the NDIS Pricing Arrangements and Price Limits change during the term of this Service Agreement. See current NDIS prices here.

Therapy services and travel will be charged at the applicable rates outlined below:

  • Speech Pathologists (SLP) - $193.99 per hour
  • Occupational Therapists (OT) - $193.99 per hour
  • Teacher/Inclusion Support - $193.99 per hour
  • Allied Health Assistants (AHA) - $86.79 per hour
  • Counsellors - $156.16 per hour
Price & Payment Information - Group Therapy Sessions run by an AHA

Group sessions delivered by an Allied Health Assistant under the supervision of a Speech Pathologist or Occupational Therapist are charged as follows:

  • AHA Indirect Planning Time: 15-30 mins per attendee at $86.79 per hour
  • SLP/OT Indirect Planning Time: 15-30 mins per attendee at $193.99 per hour
  • Clinic Overhead Fee: $2.50 per attendee
  • AHA Direct Time: $86.79 per hour divided by the number of participants attending (max 4-6 participants).
Price & Payment Information - Group Therapy Sessions run by an SLP or OT

Group sessions delivered by a Speech Pathologist or Occupational Therapist are charged as follows:

  • SLP/OT Indirect Planning Time: 15-30 mins per attendee at $193.99 per hour
  • Clinic Overhead Fee: $2.50 per attendee
  • Direct Time: $193.99 per hour divided by the number of participants attending (max 4-6 participants per clinician).
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14. Agreement Signatures

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

Clear Signature
Client Representative's Name