Berkman Academy
NDIS Billing Details
Full Name
First Name
Last Name
NDIS Number
How is your NDIS funding managed?
Self-managed
Plan-managed
Choose your funding line item (Both under Capacity Building Supports, charged at $156.16 per 50min session)
Improved Daily Living (Therapy Supports): Counselling 15_043_0128_1_3
Increased Social and Community Participation: Innovative Community Participation 09_008_0116_6_3
Plan Management Organisation name
Email for billing purpose
Plan manager name
Plan Manager’s email
Plan Manager Phone Number
Submit
Should be Empty: