NDIS Service Agreement

NDIS Service Agreement
This Service Agreement is made between:

EFOODZ t/a Mealcare (ABN: 37 642 135 537)
NDIS Registration ID 4-IL69JR0
Address: 17 Prestige Drive
Clayton South VIC 3169
Contact: 1300 168 886 | (03) 9034 9995
Email: info@mealcare.com.au

AND

The NDIS Participant below:
NDIS Plan Type*
Date

MonthDayYear
Date
Name (Participant)

First NameLast Name
NDIS Number*
Participant's Phone Number*
Date of Birth*

DayMonthYear
Date
Participant's Representative / Nominee

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship
Parent, guardian, representative
Authorised Person's Phone Number
Email*
example@example.com
Plan Details
Plan Reference*

Ref No: 01_022_0120_1_1Ref No: 01_023_0120_1_1
Plan Start Date*

DayMonthYear
Date
Plan End Date*

DayMonthYear
Date
Support Coordinator Name

First NameLast Name
Support Coordinator's Email
example@example.com
Support Coordinator's Phone Number
Plan Manager*
Plan Manager's Name*

First NameLast Name
Plan Manager's Email*
example@example.com
Plan Manager's Phone Number*
Price & Payment Information
NOTE:

Participant Co-Payments for ingredients costs:
Main meals: $3.87 - $5.37 per meal
Desserts: $1.47 - $1.77

Costs to the NDIS plan (for preparation and delivery):
Main meals: $9.03 - $12.53 per meal

Delivery Fees:
VIC: $17.50
Interstate: $20.00
Number of Meals*
Number of Desserts*
Total Ingredient Cost (client contribution per week)
Total Preparation and delivery cost (NDIS contribution per week)
Total Preparation and delivery cost (Annual NDIS contribution)
Terms and Conditions
PURPOSE OF AGREEMENT

This Service Agreement outlines the support and services to be provided by EFOODZ t/a Mealcare to the Participant under the National Disability Insurance Scheme (NDIS). It ensures that the Participant’s meal requirements are met in accordance with their NDIS Plan.

SERVICES PROVIDED

EFOODZ t/a Mealcare agrees to provide the following services:
- Preparation and delivery of nutritionally balanced meals.
- Consideration of dietary requirements and preferences as specified by the Participant.
- Delivery of meals in accordance with the agreed schedule.
RESPONSIBILITIES OF EFOODZ t/a MEALCARE

EFOODZ t/a Mealcare agrees to:
- Provide high-quality meals that meet food safety standards.
- Deliver meals as per the agreed schedule.
- Communicate any changes to the service promptly.
- Ensure invoices are issued in accordance with NDIS guidelines.
RESPONSIBILITIES OF THE PARTICIPANT

The Participant agrees to:
- Provide accurate and up-to-date information regarding dietary needs.
- Notify EFOODZ t/a Mealcare of any changes to their NDIS plan or funding.
- Ensure timely payment for services provided.
- Inform EFOODZ t/a Mealcare of any concerns regarding the service.
PAYMENT AND PRICING

Services will be charged in accordance with NDIS Price Guide rates.

Payment may be made via:
- Self-Managed: The Participant pays directly.
- Plan-Managed: The Plan Manager will be invoiced.
- NDIA-Managed: EFOODZ t/a Mealcare will claim payments directly from the NDIS.
CANCELLATION POLICY

Participants must provide at least 1 week notice for cancellations.

FEEDBACK AND COMPLAINTS

Participants can provide feedback via info@mealcare.com.au or may call us 1300 168 886 | (03) 9034 9995.
Complaints will be handled promptly and in accordance with NDIS guidelines.

PRIVACY AND CONFIDENTIALITY

All personal and health information will be handled in accordance with privacy laws.
EFOODZ t/a Mealcare will not disclose personal information without consent.
AGREEMENT ACCEPTANCE
Thank you! As a Self Managed participant, you can now place the order, and we'll send you a split invoice within 24-48 hours of placing an order.

You may call us if you need assistance (03) 9034 9995
Date

DayMonthYear
Date
Signature of Participant/ Guardian/ Nominee

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NDIS Service Agreement

Plan Details

Price & Payment Information

Terms and Conditions

AGREEMENT ACCEPTANCE