Respite Service Agreement

Please read through the important information and fill in the form below:

Purpose:

The purpose of this agreement is to specify the conditions of participating in Respite services delivered through Your Day Support Services. When signing this agreement both parties agree to abide by the terms and conditions as set out in this agreement and will cover any and all Respite bookings made and delivered within the dates as specified above. Respites are charged as per current NDIS Pricing Arrangements and Price Limits, for each 24 hour period consecutively.

Your Day Support Services aims to provide high quality, client centered, tailored Respite services to every client. The client will be included in all choices regarding accommodation, meals and activities.

Service Provider Responsibilities and Conditions:

  • Work with the client to provide Respite services that meet the client’s needs and goals as per their NDIS Plan

  • Discuss and plan the Respite with client involvement, giving them choice and control of their Respite but keeping in line with budget allocations and limits set by Your Day Support Services

  • Protect the client’s privacy and confidentiality

  • Always treat the client with courtesy and respect

  • Consult the client if decisions need to be made about how the services are provided

  • Listen to the client’s feedback and resolve problems or concerns quickly

  • Have insurance and necessary security checks to deliver services requested safely

  • Keep clear and accurate records about the services provided to the client

  • Issue invoices that explain what services have been provided, their cost and when payment is due. Note: Fees and charges are billed as per the current NDIS Pricing Arrangements and Price Limits

Cancellations

Once the Respite is approved in writing some services will require up-front payment to cover the cost of accommodation and/or ticketed activities. This may not be refundable. If cancellations or changes to bookings are requested, at any time after signing this agreement, the client will be charged (invoiced) to cover the out-of-pocket expenses plus an additional 10% administration fee of the total quote amount.

If the client cancels their respite at any time during the respite, for any reason other than injury or significant illness (requiring hospitalisation) that require the Respite to end, full charges for the entirety of the Respite will be payable to Your Day Support Services. NOTE: This includes (but not limited to) any serious breaches as listed below in this document.

In signing this agreement, the client (or their Support Coordinator) confirms there is sufficient funding for the respite to proceed and the client does not pose a risk (verbal/physical) to Support Workers.

Client’s Responsibilities:

  • Pay the amount invoiced by the Service Provider within 7 days (Self-Managed clients only)

  • Ensure there are sufficient funds in your NDIS Plan to cover the cost of our services

  • Provide feedback to the Service Provider to ensure needs are being met

  • Always treat the Service Provider with courtesy and respect

  • Discuss problems or concerns with Service Provider to seek quick resolve

  • Tell the Service Provider if there is a change to the NDIS Plan that is the basis for this agreement

  • Tell the Service Provider if any contact details set out in this agreement change

  • Give the Service Provider the notice required (see below) to end this agreement.

Changing this Agreement

If the Client and Service Provider want to make any changes to this agreement, they must discuss the changes and mutually agree. The written changes should be signed and dated by the Client and the Service Provider before any new changes apply.

Ending this Agreement

If either the Client or the Service Provider want to end this agreement, both parties must give 2 weeks' notice to the other (cancellation clause may apply regarding costs). If the Client or the Service Provider seriously breaches this agreement, the notice period will not be applied, and this agreement will end immediately, and cancellation fees will be applied and charged.

(Serious breach examples: abuse of any nature to client or Service provider staff, not having sufficient funds in NDIS Plan to cover the cost of Respite, poor/inappropriate behaviour while on Respite trips, unreasonable requests or demands that cannot be delivered resulting in conflict).

This Respite Service Agreement agreement is made between the Client and Your Day Support Services (Service Provider)