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Group 143
A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.

NDIS Participant Details *



Participant Address *



What is your relationship to the NDIS Participant you are signing up? *


If you are able to provide guardianship documentation, please provide it here.



Preferred Contact Method



Would you like access to any of these additional options?



Do you want us to list any additional contacts? (EG Support Coordinator, Family, Friend, Nominee) *



If No and you wish to nominate someone in the future, we will require consent to share documentation.



If you are able to, please upload a copy of your NDIS Plan



If you do not have a copy of your plan or can't upload your plan you can send it to us later.



How did you hear about us? *





NDIS Audit

NDIS registered providers are required to be audited against the NDIS Practice Standards as part
of the NDIS Quality and Safeguarding Framework. Clients of NDSP are automatically enrolled in
the audit processes and may be contacted by the (NDSP) audit team for interviews and/or have
their files reviewed to ensure NDSP is compliant. If you do not wish to participate in the audit you
can opt out of the process by ticking the box below.



Participant Address *



How was your previous NDIS plan managed?



Service Agreement

PARTIES

This Service Agreement is between National Disability Support Partners (NDSP Plan Managers) and
the participant / nominated representative in the National Disability Insurance Scheme. This
Agreement will commence, and the participant will become an active client of NDSP Plan
Managers, from today until we are notified otherwise in writing by the Participant/Guardian/
Nominated Representative.

WORDS USED IN THIS AGREEMENT

A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.

NDIS Participant Details *



Participant Address *



What is your relationship to the NDIS Participant you are signing up? *


If you are able to provide guardianship documentation, please provide it here.



Preferred Contact Method



Would you like access to any of these additional options?



Do you want us to list any additional contacts? (EG Support Coordinator, Family, Friend, Nominee) *


If No and you wish to nominate someone in the future, we will require consent to share documentation.

Additional Contact - Details*

Additional Contact - Allow access to?*



If you are able to, please upload a copy of your NDIS Plan



If you do not have a copy of your plan or can't upload your plan you can send it to us later.



How did you hear about us? *





NDIS Audit

NDIS registered providers are required to be audited against the NDIS Practice Standards as part
of the NDIS Quality and Safeguarding Framework. Clients of NDSP are automatically enrolled in
the audit processes and may be contacted by the (NDSP) audit team for interviews and/or have
their files reviewed to ensure NDSP is compliant. If you do not wish to participate in the audit you
can opt out of the process by ticking the box below.



Participant Address *



How was your previous NDIS plan managed?



Service Agreement

PARTIES

This Service Agreement is between National Disability Support Partners (NDSP Plan Managers) and
the participant / nominated representative in the National Disability Insurance Scheme. This
Agreement will commence, and the participant will become an active client of NDSP Plan
Managers, from today until we are notified otherwise in writing by the Participant/Guardian/
Nominated Representative.

WORDS USED IN THIS AGREEMENT

The Agreement uses words that have a specific meaning: Planmeans the written NDIS plan developed with you and/or on your behalf by the NDIA or their delegate (for example a Local Area Coordinator). Our Services means plan management and financial intermediary services provided to the Participant by NDSP Plan Managers. Support Provider refers to the provider of support services for the NDIS Participant.