ABC CONSENTS AND SERVICE AGREEMENT

Participant Details

Person providing consent


CONSENTS

I consent to   Australian Behaviour Consultants Pty Ltd (ABN: 94 650 644 465)  trading as   ABC Behaviour Support (ABC)  to be endorsed with the NDIA as "My Provider" for the category: Behaviour Support and Improved Daily Living (Organisation ID: 405 011 7479).

How to change my consent

This consent will remain in place until you withdraw. Consent can be changed at any time by:

  • Submitting a new consent form.

  • Withdrawing consent via email:   info@abcbs.com.au.

  • Ending this service agreement and contacting the NDIA ( 1800 800 110) to update provider endorsement.

Australian Behaviour Consultants Consent

I give permission for ABC to conduct assessment activities and write reports i.e., Behaviour Support Plan or therapy report for the participant. I give my permission for ABC to:

  • Read my/the participant’s records. Observe me/the participant.

  • Speak with my/the participant’s support team.

  • Train my/the participant’s support team in the Behaviour Support Plan.

  • Use a photo of me/the participant or my/the participant’s environment, in reports about me.

  • Record and review video of me/the participant in their environment.

I understand that the purpose of these activities is to gather information about me/the participant for the development of reports, i.e., behavioural data collection, medical history, and incident reports that will assist in developing a more thorough report and/or plan. I understand Behaviour Support Plans may contain recommended restrictive practices and I am able to withdraw this consent at any stage.

Consent to share information

I am the person/person responsible for the above-mentioned NDIS Participant and hereby give permission for ABC to exchange/release any or all information pertaining to me/the participant. The following is not an exhaustive list of example organisations etc. with whom ABC may exchange/release information:

  • NDIS service providers such as my/the participant’s accommodation provider, support workers, and day program service providers.

  • NDIS therapists such as my/the participant’s occupational therapist, physiotherapist, speech therapist.

  • Allied Health Professionals such as my/the Participant’s General Practitioner, Psychologist, hospital staff. NDIS Quality and Safeguards Commission.

  • Department of Communities and Justice (DCJ).

  • NSW Department of Education (or other education departments).

I understand that I have the right to revoke this consent at any time by emailing  info@abcbs.com.au


SERVICE AGREEMENT

Explanation of Service

ABC Behaviour Support agrees to provide specialist behaviour support or therapy services in accordance with   NDIS Quality and Safeguards Commission  standards. This includes:

  • Direct service provision

  • Non-face-to-face supports

  • Provider travel

  • Short-notice cancellations

  • NDIS reports as required

The ABC   Schedule of Supports template  is published on our website and includes support activity descriptions, standardised allocated hours for each support activity and the hourly rate, in compliance with the NDIS Pricing Arrangements and Limits.

A   tailored Schedule of Support  will be provided upon service scheduling and allocation to a practitioner. Participants can request changes at any time be emailing   info@abcbs.com.au  or discussing with their practitioner.

The participant and/or guardian will agree to the frequency of direct support provision engagement with the practitioner, with respect to available flexible hours.

Travel will be charged in accordance with the NDIS Pricing Arrangements and Limits

My/the participant’s NDIS plan is expected to remain in effect during the period the supports are provided.

Budget and Funding

The overall budget for services is supplied by the participant or referrer, and ABC will attempt to verify an accurate budget. The budgeted hours and available funding will be reflected in your tailored Schedule of Support. Participants can request changes to the budget at any time be emailing   info@abcbs.com.au  or discussing with their practitioner.

Pricing and Payment

  • Prices will align with your schedule of supports and are compliant with the   NDIS Pricing Arrangements and Limits.

  • Participants will be notified of any   pricing adjustments at least 30 days in advance.

  • If a participant disagrees with a price adjustment, they may   request a service plan review or end their service agreement without penalty.

  • Payments are made through the participant’s nominated funding method (NDIA-managed, Plan-managed, or Self-managed).

Service Continuation

Upon initial engagement, ABC will commence support logs, case notes and claiming forme/the participant.

The behaviour support service or therapy service will continue until I/the participant inform ABC to discontinue the service in writing, we recommend you end the “My Provider” arrangement (If required) with the NDIA by calling the NDIA on Tel: 1800 800 110. You may withdraw from this service at any time.

For each NDIS plan period, ABC will provide a new schedule of supports and consents form to inform me/the participant of scheduled support activities, allocated hours and the hourly rate, and facilitate any change of service or consent (if required).

I /the participant’s NDIS plan is expected to remain in effect during the period the supports are provided.

I/the participant / the participant’s representative will immediately notify the Provider if the Participant’s NDIS Plan is replaced by a new plan or the Participant is no longer a participant in the NDIS.

In the event of a disruption to the continuity of this service, such as an emergency or natural disaster, a delegate from ABC will contact me/the participant to make alternate arrangements for the provision of support.

Responsibilities and Ending Services

The Participant/Participant representative can end the Service Agreement and Consents at any time. 

ABC’s expectation around cancellation of services is set out in the Service Agreement Responsibilities Policy.

The responsibilities of both ABC as service provider and me/the participant as a participant is set out in the Services Agreement Responsibilities policy.

Feedback and Complaints

If I/the participant want to make a complaint about ABC, I/the participant may do so by the following methods:

  • Verbally in person or over the phone.

  • By emailing info@abcbs.com.au

  • Feedback contact form on the website

  • If the Participant is not satisfied or does not want to talk to an ABC representative, the Participant can contact the NDIS Quality and Safeguards commission on 1800 035 544 or lodge a complaint via the following  link.

Goods and Services Tax (GST)

  • A supply of supports under this Service Agreement is a supply of one or more of the reasonable and necessary supports specified in the statement included, under subsection 33(2) of the National Disability Insurance Scheme Act 2013 (NDIS Act), in the Participant’s NDIS plan currently in effect under section 37 of the NDIS Act. For the purposes of GST legislation, services provided in accordance with this Service Agreement are GST exempt.

  • ABC shall be paid via the nominated method stated on the participant referral (NDIA managed, Plan Managed or Self-Managed)

  • The Participant’s NDIS plan is expected to remain in effect during the period the supports are provided

Provider Agreement

Participant Agreement

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