Service Agreements & Templates
Document Purpose: Internal reference for service agreements, consent forms, and document templates used at Abilitive Pty Ltd.
SERVICE AGREEMENT TEMPLATE
Agreement Details
- Provider: Abilitive Pty Ltd (ABN: [Your ABN])
- Participant: [Participant Name]
- NDIS Number: [NDIS Number]
- Agreement Date: [Date]
- Review Date: [Date – typically 12 months]
Services to be Provided
- Support Category: [e.g., Assistance with Daily Life]
- Support Item: [e.g., Assistance with Self-Care Activities]
- Support Item Number: [NDIS Item Number]
- Frequency: [e.g., 3 hours per week]
- Location: [Participant’s home / Community / Other]
Fees and Charges
- Hourly Rate: As per current NDIS Price Guide
- Travel: Charged as per NDIS rules (if applicable)
- Cancellation: Short notice cancellations may be charged
- Invoicing: [Weekly/Fortnightly/Monthly]
- Payment Method: Claiming through NDIA portal
Short Notice Cancellation
Cancellation with less than 2 business days’ notice (7 days for supports over $1000) may result in a cancellation fee being charged up to 90% of the agreed fee.
Responsibilities
Provider will:
- Deliver supports as agreed in this agreement
- Communicate openly and honestly
- Respect participant’s privacy and confidentiality
- Provide qualified and screened workers
- Manage complaints fairly and promptly
- Give reasonable notice of changes to services
Participant agrees to:
- Provide accurate information about support needs
- Communicate changes to needs or circumstances
- Provide safe environment for workers
- Give required notice for cancellations
- Treat workers with respect
CONSENT FORMS
Consent for Services
Required information:
- Participant name and details
- Services consented to
- Who can provide consent (participant or nominee)
- Signature and date
- Witness signature (if required)
Photo/Video Consent
- Purpose of photos/videos
- How they will be used (internal records, marketing, training)
- Duration of consent
- Right to withdraw consent
Information Sharing Consent
- What information can be shared
- Who it can be shared with
- Purpose of sharing
- Duration of consent
Emergency Medical Consent
- Authorisation for emergency medical treatment
- Known allergies or conditions
- Current medications
- Emergency contacts
PARTICIPANT DOCUMENTS
Participant Profile Template
- Personal details (name, DOB, address, contact)
- NDIS number and plan dates
- Support coordinator/plan manager details
- Emergency contacts
- GP and other health providers
- Medical conditions and allergies
- Communication needs
- Cultural considerations
- Goals and preferences
Support Plan Template
- Participant goals (short and long term)
- Current abilities and strengths
- Support needs assessment
- Risk assessment
- Strategies to achieve goals
- How progress will be measured
- Review schedule
Progress Notes Template
- Date and time of support
- Support worker name
- Activities completed
- Progress towards goals
- Any concerns or observations
- Follow-up actions required
INCIDENT & COMPLAINT FORMS
Incident Report Form
- Date, time, and location of incident
- Persons involved
- Description of incident
- Immediate actions taken
- Injuries or harm sustained
- Notifications made
- Witnesses
- Reporter details and signature
Complaint Form
- Complainant details (or anonymous option)
- Date of complaint
- Nature of complaint
- Details of concern
- Preferred resolution
- How complainant wishes to be contacted
STAFF DOCUMENTS
Employment Contract Checklist
- Employment type (casual/part-time/full-time)
- Classification and pay rate
- Hours and roster arrangements
- Probation period
- Notice requirements
- Key responsibilities
- Award coverage
Position Description Template
- Position title
- Reports to
- Position purpose
- Key responsibilities
- Essential qualifications/clearances
- Desirable skills/experience
- Key performance indicators
EXIT DOCUMENTS
Participant Exit Form
- Reason for exit
- Exit date
- Handover arrangements
- Return of equipment/keys
- Final invoice arrangements
- Referrals to other services (if applicable)
- Feedback/exit interview notes
Staff Exit Checklist
- Resignation/termination date
- Return of equipment, keys, uniform
- Final timesheet submission
- Exit interview
- Reference arrangements
- System access removal
DOCUMENT VERSION CONTROL
All templates should include:
- Document name
- Version number
- Created date
- Last reviewed date
- Next review date
- Author/owner