NDIS Service Agreement

NDIS Service Agreement

This Service Agreement is between: Oppenheimer t/a Thr1ve Meals and the Participant below
Oppenheimer Pty Ltd
Unit 5 107 Carnarvon St
SILVERWATER NSW 2128
AUSTRALIA
ABN: 84 000 016 277

NDIS Registration No.: 4-JWURW12
Participant's Full Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Please select your plan type
NDIS Number*
Date of Birth*

DayMonthYear
Date
- Are you a Plan Manager or a Participant?
- As a Self Managed participant, you may now place an order on our website. You will receive a confirmation with a link to download a split invoice to claim through your portal.
  
  If you have further questions, please do not hesitate to reach out to us.
  
  Click HERE to place an order.
- Delivery Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Participant's Representative/Nominee
  
  First NameLast Name
- Relationship
  Parent, guardian, representative
- Contact Phone
- Plan Managed Participant
- Please select reference stated in your plan.*
- Plan Start Date*
  
  DayMonthYear
  Date
- Plan End Date*
  
  DayMonthYear
  Date
- Support Coordinator's Name
- Support Coordinator's Phone
- Plan Manager's Name*
- Plan Manager's Phone*
- Plan Manager's Email*
- Quote Details
  
  The total cost and contributions will be automatically calculated below based on selections
- No. of Standard Meals*
- No. of Premium Meals*
- No. of Small Snacks*
- No. of Medium Snacks*
- No. of Large Snacks*
- No. of Drinks (3-pack)*
- Delivery Frequency*
- Total Cost Meals
- Total Cost S / M Snacks
- Total Cost SM/L Snacks
- Total Cost Drinks
- Total Cost Meals and Snacks
- Total Cost Meals and Snacks and drinks
- Total Cost
- Client Portion (30%)
- NDIS Weekly Portion (70% Meal Preparation Cost and Delivery Fee ($15.00)
- NDIS Annual Portion (52 Weeks)
- Responsibilities of the Provider
  Oppenheimer T/A Thrive Meals agrees to:
  - Review the service arrangement with the participant (or their nominee) whenever requested.
  - Deliver meals as per the participant’s order on the agreed delivery day, ensuring minimum order requirements are met.
  - Treat participants with dignity, respect their privacy, and handle personal information responsibly.
  - Actively seek feedback, address concerns promptly, and strive to improve services.
  - Maintain accurate and transparent records of services provided.
  Responsibilities of the Participant
  
  I, agree to:
  - Communicate openly with Oppenheimer T/A Thrive Meals to ensure the services meet my needs and promptly raise any issues or concerns.
  - Interact with Oppenheimer T/A Thrive Meals staff and delivery personnel respectfully and courteously.
  - Provide correct and up-to-date delivery and contact details.
  - If I am unavailable to accept the delivery, ensure that a safe and shaded location is specified for delivery to be left. I acknowledge full responsibility for the delivery once it is left as instructed.
  - Understand that meals are delivered with ice packs and must be stored in the fridge within 6 hours of receiving the SMS notification.
  - If living in a secure building and unable to be present, provide alternative access instructions, such as a contact person, or authorise the delivery to be left in a designated area. I acknowledge responsibility for the order once it is delivered.
  - Confirm that services will continue under my current NDIS Plan, even if the plan undergoes a review.
  - Provide at least three business days’ notice if I need to cancel a delivery.
  - Notify Oppenheimer T/A Thrive Meals immediately of any changes to my NDIS Plan, including reviews or changes to plan dates, or if I cease to be an NDIS participant.
  - Provide reasonable notice to terminate this agreement, as outlined below.
  - Recognise that ingredient costs are not covered under NDIS funding.
  - Payments can be made via debit or credit card, Apple Pay, Bank Transfer, PayPal, and Google Pay when placing an order.
  - For self-managed participants, claims can be made up to 30 days after the conclusion of their NDIS Plan.
  Termination of the Agreement
  This agreement may be ended by either party with one week’s notice. If Oppenheimer T/A Thrive Meals breaches the agreement significantly, the notice period will not apply.
- Executed as an Agreement - Please add Signature Below
- Date
  
  DayMonthYear
  Date
- Signature of Participant/Nominee*
- Should be Empty:

NDIS Service Agreement

Plan Managed Participant

Quote Details

Executed as an Agreement - Please add Signature Below