About this agreement
This Service Agreement is made for the purpose of providing an agreement for plan management supports under the NDIS.
If you are not able to sign this agreement, a Plan Nominee may also do this. A note will be made at the bottom of this form to explain why someone else has signed the agreement.
This agreement explains what you can expect from us and what your responsibilities are when you receive support from us.
This agreement can only be made after:
we have explained to you the services we offer
you have told us verbally that you would like to receive this support from us
we have explained our process of signing service agreements with you, including that you can change your mind at any time.
If you need help at any time, please speak to a trusted family member, friend or an advocate.
Once the agreement has been signed, we will keep the original signed agreement in your file and give a copy to you and those people you nominate.
Schedule of supports
Mighty Health agrees to provide the participant with the supports and their prices as set out in the attached schedule of supports. All prices are GST inclusive and include the cost of providing the supports.
Pricing
We will only charge fees in accordance with the NDIS price guide.
Things that are not included as part of your NDIS support plan are your responsibility to pay.
Responsibilities of Mighty Health
Mighty Health will:
Communicate openly and honestly in a timely manner
Treat you with courtesy and respect
Consult you on decisions about how supports are provided
Listen to your feedback and resolve problems quickly
Give you the required notice if we need to end the service agreement (see ‘Ending this Service Agreement’ below for more information)
Protect your privacy and confidential information
Provide supports in a manner consistent with all relevant laws, including the National Disability Insurance Scheme Act 2013 and rules, and the Australian Consumer Law; keep accurate records on the supports provided to you.
Responsibilities of the participant and/or participant’s representative
You agree to:
Inform us about how you want the supports to be delivered to meet your needs
Treat us with courtesy and respect
Talk to us if you or your representative has any concerns about the supports being provided
Give us the required notice if you need or want to end the service agreement (see ‘Ending this Service Agreement’ below for more information), and
Let us know immediately if your NDIS plan is suspended or replaced by a new NDIS plan or if you stop being a participant in the NDIS.
Note: For the purposes of GST legislation, the parties confirm in this service agreement that:
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; and
The participant’s NDIS plan is expected to remain in effect during the period the supports are provided.
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.
Temporary suspension of supports
We may need to ask you to take a short break from our service if:
we are unable to provide support that meets your needs, or
you act in a way that makes it unsafe for you or others, but we think that you can change the unsafe behaviour with some support.
If we think that you can’t attend for a short time, we will immediately tell you, or your representative and work out how to address the problem.
Ending this Service Agreement
Should either party (you or us) wish to end this service agreement they must give four weeks’ notice in writing unless there has been a breach of the agreement and both parties agree to waive the notice period. whether you choose to resume services for the duration of that month or not, you will be charged for that period and Mighty Health will have the right to claim the funds from your plan.
Feedback, complaints, and disputes
We aim to provide safe services to you and will not tolerate any harm caused to you, other participants, or workers. We also aim to provide respectful services.
If you wish to provide feedback or are not happy with the services provided, you or your representative can contact:
Mighty Health Team: (02) 9190 7550 or admin@mightyhealth.com.au
Making a complaint to the NDIS Commission
If you are not satisfied or want to raise a complaint externally, you can contact the NDIS Quality and Safeguards Commission by: Phoning 1800 035 544 (free call from landlines) or TTY 133 677. Interpreters can be arranged.
Support arrangements in the event of an emergency or disaster
Change of circumstances
You or your representative agree to immediately notify us if your NDIS Plan is replaced by a new plan or you stop being a participant in the NDIS.
