Service Agreement

Please read this Service Agreement in full prior to signing and dating. It contains important information in relation to the supports that will be provided.

Please read this Service Agreement in full prior to signing and dating. It contains important information in relation to the supports that will be provided.

This Service Agreement is made for the purpose of providing supports under the Client's National Disability Insurance Scheme (NDIS) Plan and is made between a Client and/or their Authorised Representative and a Provider.

All whom sign this Agreement understand that this information is provided in the context of the NDIS, which is a scheme that aims to:

  • Support the independence and social and economic participation of people with a 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.

Client Details

The Person that is Authorised to sign this Service Agreement is:

Contact Details

please enter n/a if unknown

Schedule of Supports

Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
These are the dates in which Propel OT will be providing supports
Inclusive of any Therapy funding used and requested in this Plan Period
Inclusive of any Therapy hours used and requested in this Plan Period

Travel

  • Therapy services, reporting, correspondences and liaison cost will be based on Clinician's location at the time of providing services. Reports completed in rural and remote areas will be submitted before Clinician's departure from rural and remote location.

  • Travel claim includes accommodation, all transport and provider travel time for Clinicians.

NDIS Schedule of Supports

Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
Total of funds used so far by Propel OT in this Plan Period
Total hours used so far by Propel OT in this Plan Period
These are the dates in which Propel OT will be providing supports

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Inclusive of any Therapy funding used and requested in this Plan Period
Inclusive of any Therapy hours used and requested in this Plan Period

What will Propel OT bill for:

Propel OT bill for the time our staff spend providing each service. Some examples are outlined below:


General

  • Propel OT will not bill for any contact visits or information provided before you sign.

  • Propel OT will bill for attending meetings or appointments for the participant, we charge for each person and their travel time.


Face-to-face Services:

  • Propel OT bill for your home visits or other appointments with us, including travel time for any staff who must travel to provide the service.


Other meetings and correspondence:

Propel OT will bill when we need to meet with, talk to or write to others about the capacity building of the Participant, this could include time spent (any task that takes more than 6 minutes will be invoiced):

  • Meeting with other members of the Participant's support team and employers,

  • Writing to or for the family or employer,

  • Sharing case notes or reports with external professionals,

  • Talking with those involved in an Individual Family Service Plan (IFSP),

  • Propel OT will not charge for our administrative team meetings.


Reports, research and resources:

  • Propel OT will charge for other capacity building work we do for the Participant outside of appointments, such as preparing reports and doing research.

  • Propel OT will charge for producing resources.


Propel OT reserves the right to NOT provide service or to cancel any future appointments for the Client if you do not have sufficient funds in your Plan or the Plan expires. Any service fees not met by NDIS will be covered by the Client/Client Representative.


Price and Payment Information:

The hourly rate is in accordance with the conditions stated in the NDIS Pricing Arrangement.  The hourly rate, travel rates and guidelines for services included (including cancellation policy) will be subject to change, in accordance to changes to the NDIS Pricing Arrangement. The fees are:

  • Very Remote Occupational Therapy: $290.99 per hour plus $290.99 per hour for any associated therapist travel.

  • Remote Occupational Therapy: $271.59 per hour plus $271.59 per hour for any associated therapist travel.

  • Occupational Therapy: $193.99 per hour plus $193.99 per hour for any associated therapist travel.

  • Therapy Assistant Level 2: $86.79 per hour plus $86.79 per hour for any associated therapist travel.

  • Therapy Assistant Level 1: $56.16 per hour plus $56.16 per hour for any associated therapist travel.


If any Propel OT Therapist arrives to a confirmed appointment, and the Client declines service, is not present or does not show up after contact attempts, then both non-attendance of the appointment and any relevant travel will be charged.


Travel

Where applicable, Provider Travel Costs (labour and non-labour) may be charged against participant plans in accordance with the terms and conditions set out in the NDIS Price Guide. As these policies may change from time to time, current policy will be applied. You will be charged for the time it takes your therapist to travel to and from an appointment. Travel is considered a billable service charged in 5-minute increments based at the therapist hourly rate.


Note: Therapy services, reporting, correspondences and liaison cost will be based on Clinician's location at the time of providing services. 

  • Full Schedule of services will be available after initial appointment from clinician upon request.

  • Travel claim includes any accommodation, fuel charges and provider travel time for Clinician.

  • If participant prefers to come to Propel hub on own or with participant's support worker, no provider travel costs will be charged. 

Participants will be charged as follows:

  • MMM1, MMM2 & MMM3 = up to 30 minutes travel each way.

  • MMM4 & MMM5 = up to 60 minutes travel each way.

  • MMM6 & MMM7 as per NDIS guidelines. Where a worker is travelling to provide services to more than one participant in a 'region' then that travel time can be apportioned between the participants.

  • Non labour travel charges at $0.97/km may also be charged.

What will Propel OT bill for:

Propel OT bill for the time our staff spend providing each service. Some examples are outlined below:


General

  • Propel OT will not bill for any contact visits or information provided before you sign.

  • Propel OT will bill for attending meetings or appointments for the participant, we charge for each person and their travel time.


Face-to-face Services:

  • Propel OT bill for your home visits or other appointments with us, including travel time for any staff who must travel to provide the service.


Other meetings and correspondence:

Propel OT will bill when we need to meet with, talk to or write to others about the capacity building of the Participant, this could include time spent (any task that takes more than 6 minutes will be invoiced):

  • Meeting with other members of the Participant's support team and employers,

  • Writing to or for the family or employer,

  • Sharing case notes or reports with external professionals,

  • Talking with those involved in an Individual Family Service Plan (IFSP),

  • Propel OT will not charge for our administrative team meetings.


Reports, research and resources:

  • Propel OT will charge for other capacity building work we do for the Participant outside of appointments, such as preparing reports and doing research.

  • Propel OT will charge for producing resources.


Propel OT reserves the right to NOT provide service or to cancel any future appointments for the Client if you do not have sufficient funds.


Price and Payment Information:

  • Occupational Therapy: $150.00 per hour plus $150.00 per hour for any associated therapist travel.

  • Therapy Assistant Level 2: $86.79 per hour plus $86.79 per hour for any associated therapist travel.

  • Therapy Assistant Level 1: $56.16 per hour plus $56.16 per hour for any associated therapist travel.


If any Propel OT Therapist arrives to a confirmed appointment, and the Client declines service, is not present or does not show up after contact attempts, then both non-attendance of the appointment and any relevant travel will be charged.


Travel

Note: Therapy services, reporting, correspondences and liaison cost will be based on Clinician's location at the time of providing services. 

  • Full Schedule of services will be available after initial appointment from clinician upon request.

  • Travel claim includes any accommodation, fuel charges and provider travel time for Clinician.

  • If participant prefers to come to Propel hub on own or with participant's support worker, no provider travel costs will be charged. 

  • Provider travel to and from appointments is billable at an hourly price limit.  Non labour travel charges at $0.97/km may also be charged.

Payments

Please note this an updated Service Agreement to include

both previously used hours and further requested hours for this Plan period.

Propel OT will seek payment for their provision of supports after the supports have been delivered in accordance with the below information:

Propel OT will setup a Service Booking for your allocated dollars/hours to claim Services from within the NDIA PRODA Portal.

Payment is due by Electronic Funds Transfer within 7 days of invoicing. 


All outstanding invoices must be paid before provision of next service. 

Upon request of Assessment Report all services involved in completion of Report must be paid prior to Report being provided to the relevant Parties.

ABN: 32 640 251 449

Payment is due by Electronic Funds Transfer within 7 days of invoicing. 

All outstanding invoices must be paid before provision of next service. 

Upon request of Assessment Report all services involved in completion of Report must be paid prior to Report being provided to the relevant Parties.

ABN: 32 640 251 449

NDIS Plan

It is helpful for the Therapist to have a copy of the My Profile and Goals sections of the NDIS Plan. This ensures we are working towards your stated goals. It also helps when applying for funding and completing reports for the NDIS when needed. It is helpful to include the Funding Sections of your Plan, especially if you need to apply for Assistive Technology; Home Modifications or Home and Living Supports.

It is your choice whether or not to provide a copy of all or parts of the NDIS Plan.

Browse

Reports

It is helpful for the Therapist to have a copy of relevant documentation (reports etc.).  This ensures we are working towards your goals. 

It is your choice whether or not to provide copies of reports.

Browse

Rights & Responsibilities

Propel OT agrees to:

  • Provide Therapy services as per this agreement and in accordance with NDIA procedures.

  • Work in collaboration with you to achieve your goals.

  • Communicate openly and honestly with you.

  • Be polite and friendly and treat you with respect at all times.

  • Explain things clearly so you understand every step of the process.

  • Include you in all decisions about your supports.

  • Listen to your feedback and act quickly upon any complaints you report to us.

  • Store your information carefully and maintain your privacy

The Client/Client's Representative agrees to;

  • Notify Propel OT about any changes you wish to be made to this Service Agreement.

  • Notify Propel OT if your NDIS Plan changes (e.g. if you have a booked Plan review).

  • Provide at least 7 days notice if you wish to cancel a booked service.

  • Provide at least 2 weeks notice if you wish to terminate our services. You will be billed for the hours of service provided to the date of termination.

  • Pay invoices by the due date.

Propel OT agrees to:

  • Provide Therapy services as per this agreement.

  • Work in collaboration with you to achieve your goals.

  • Communicate openly and honestly with you.

  • Be polite and friendly and treat you with respect at all times.

  • Explain things clearly so you understand every step of the process.

  • Include you in all decisions about your supports.

  • Listen to your feedback and act quickly upon any complaints you report to us.

  • Store your information carefully and maintain your privacy

The Client/Client's Representative agrees to:

  • Notify Propel OT about any changes you wish to be made to this Service Agreement.

  • Provide at least 7 days notice if you wish to cancel a booked service.

  • Provide at least 2 weeks notice if you wish to terminate our services. You will be billed for the hours of service provided to the date of termination.

  • Pay invoices by the due date.

Cancellation Policy

Short notice cancellations or non-attendance, where notice is given with less than 7 days before the scheduled appointment, may result in 100% of the appointment fee being charged (except in extenuating circumstances), including any travel (or part thereof) already undertaken, unless there is capacity to fill the vacancy with other services (e.g. develop resources) for the Client.

Clients and/or their representative need to contact Propel OT by phone or email to cancel an appointment.

In the event that Propel OT needs to cancel the Client's appointment, there will be no charge to the Client and every attempt to contact the Client or their Representative will be made to minimise any inconvenience caused.

Propel OT will endeavour to make up this time by either extending subsequent appointments (if time allows) or rescheduling the appointment.

Outstanding Fees

Outstanding fees need to be paid prior to further services being provided. If fees are not paid, Propel OT may contact the following (where applicable) to recover the outstanding debt:

  • Plan Manager

  • Support Coordinator

  • Debt collector

  • NDIA

  • The Client/Client's Representative will be liable for any outstanding debts that are not payable by the NDIA and also the costs associated in recovering such debts.

Outstanding fees need to be paid prior to further services being provided. If fees are not paid, Propel OT may contact the following (where applicable) to recover the outstanding debt:

  • Debt collector

  • The Client/Client's Representative will be liable for any costs associated in recovering such debts.

Making a Complaint

We will strive to ensure that your experience with Propel OT is a positive one, however in any instance where you are unhappy with our service, feel free to discuss this with us as soon as possible.  Please be assured that we welcome all feedback and will endeavour to resolve any issues or concerns in a timely manner.

If you have a concern, you can speak directly to the Director:

  • David Mawere

  • E: feedback@propelot.com.au

  • P: 07 4724 3684

If you don’t wish to discuss your complaint with Propel OT, or if you feel that your issue is not being resolved satisfactorily, you can contact your NDIS Support Coordinator or Plan Manager.  Alternatively, you can contact the NDIA who can provide you with information on what you can do.

NDIA    T: 1800 800 110    http://www.ndis.gov.au

We will strive to ensure that your experience with Propel OT is a positive one, however in any instance where you are unhappy with our service, feel free to discuss this with us as soon as possible.  Please be assured that we welcome all feedback and will endeavour to resolve any issues or concerns in a timely manner.

If you have a concern, you can speak directly to the Director:

  • David Mawere

  • E: feedback@propelot.com.au

  • P: 07 4724 3684

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. The Parties agree that any changes to this Service Agreement will be in writing, signed, and dated by the Parties.

Ending this Service Agreement

Should the Client/Client's Representative or the Provider wish to end this Service Agreement they must give 2 weeks notice.

If the Client/Client's Representative or the Provider seriously breaches the terms in this Service Agreement, the requirement of notice will be waived.

Consent

At times, it may be helpful for us to talk with other people involved in your care.  Only information relevant to the service we are providing will be discussed.  We will not talk with anyone that you do not want us to speak with. 

The Client/Client Representative consents to Propel OT specifically liaising with:


I (client/authorised representative) consent to:

Signatures

By signing this Agreement, you agree to all of the information included. 

Please note, if we do not receive back a signed copy of this Agreement and the Client continues to attend appointments after receiving, it is implied the Client / Client's Authorised Representative have accepted the terms within this Agreement. 

I have read & understood this Service Agreement and understand each item listed within. I understand Propel OT will be engaged to provide services that it is entitled to receive payment in return.

I confirm that authority has been delegated to me the undersigned, to represent the Client and execute this Agreement as the Client's Authorised Representative. 

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