This agreement is for the delivery of services under a National Disability Insurance Scheme (NDIS) Plan between you and Asim (“Sam”) Hafeezullah, business name, Complex Support Coordination.

You advise that you have funding for services you have requested in a NDIS plan that is either your own or which you are a nominee/Representative/Guardian for.

Sam agrees to provide you with social work services as per NDIS Pricing Arrangements ‘Assessment, Recommendation, Therapy or Training (including Assistive Technology) - Other Therapy’ for the duration of this agreement contingent on available funding that is plan or self managed under a NDIS plan.

This service is a mix of both face to face and non-face to face supports.

Sam agrees to:
• communicate in an amiable & professional manner;
• respond in a timely manner to all communications;
• treat you with courtesy and respect;
• work with you to design how supports are provided;
• listen to your feedback and resolve problems quickly;
• protect your privacy and confidentiality;
• share case notes with you;
• 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.

You agree to:
• inform Sam about your needs and preferences;
• inform Sam if you do not want your information shared with certain agencies or providers;
• inform Sam if you have any concerns about the supports being provided;
• let Sam 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.

Sam’s services are charged:
• at the capped rate in the current NDIS Pricing Arrangements (available on the NDIS website);
• any revisions thereof in the subsequently updated NDIS Pricing Arrangements;
• when delivering face to face supports, travel time and mileage will be charged as per NDIS Pricing Arrangements.

The Service Agreement continues unless you or Sam cancel the agreement by giving a fortnight’s notice.

Sam respects your privacy and personal information and will not disclose this to any party unless:
• you have given consent;
• info is required under law or to keep you or someone else safe;
• it involves a NDIS Quality & Safeguarding reportable incident.

Sam is committed to providing you a high quality service, really values your feedback and is committed to resolving any complaints you may have
• if you aren’t happy with the service for any reason, please call Sam to discuss or email feedback@complexsupport.com.au
• after receiving your complaint, Sam will contact you within 2 business days to discuss
• if you are still not satisfied after Sam’s response, you have the option to contact the NDIS Commission by calling 1800 035 544 or by filing out a complaint contact form through their website www.ndiscommission.gov.au
• if you reside in Western Australia, you can also contact the Health and Disability Services Complaints Office on 1800 813 583 or visit www.hadsco.wa.gov.au

For the purposes of GST legislation, the Parties confirm 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;
• your NDIS plan is expected to remain in effect during the period the supports are provided;
• you will immediately notify Sam if you stop being a participant in the NDIS.