Service Agreement

Parties

This Service Agreement is between Atypical Solutions TM Pty Ltd and:

Parent / Guardian First Name *

Last Name *

Phone Number *

E-mail address *

2. Client Information

Child's First Name *

Child's Last Name *

Date of Birth *

Is the child an NDIS participant? *

Yes - If yes please do not proceed and contact admin for an NDIS specific Service Agreement No

Supports to be provided: *

After school programs Auslan TrainingGroup ProgramsSchool holiday programs

Please select how programs will be funded *

Private Fee for Service

1. Purpose of the Agreement

This Service Agreement outlines the supports provided by Atypical Solutions for self-funded participants. It aims to support the client’s independence, social and economic participation, and enable them to exercise choice and control over the delivery of their supports.

2. Schedule of Supports

Atypical Solutions agrees to provide the following support services. All prices are GST inclusive (if applicable). Additional expenses not included in the agreed fees are the responsibility of the client or their representative. You agree that all pricing information has been provided to you prior to signing this agreement.

Supports to be provided:

After school / School holiday programs
Auslan Training
Homeschool Group Activities

By signing this agreement, the client/representative agrees to pay for supports provided by Atypical Solutions and confirms they have access to the required funds to pay for these supports.

Atypical Solutions reserves the right NOT to provide service or to cancel any future appointments for the client if payments remain outstanding for 30 days or more.

3. Atypical Solutions Responsibilities

Atypical Solutions agrees to:

Review the provision of supports at least annually with the client.
Provide supports that meet the client’s needs at their preferred times.
Communicate openly and honestly.
Treat the client with courtesy and respect.
Consult the client on decisions about how supports are provided.
Provide information on managing complaints and the Atypical Solutions cancellation policy.
Listen to client feedback and resolve problems quickly.
Give a minimum of 24 hours’ notice for any changes to scheduled appointments.
Give required notice if Atypical Solutions needs to end the Service Agreement.
Protect the client’s privacy and confidential information.
Comply with all relevant laws, including the Australian Consumer Law.
Keep accurate records of supports provided.
Issue invoices and statements as per agreed terms.

4. Client Responsibilities

The client or their representative agrees to:

Inform Atypical Solutions about how supports should be delivered to meet the client’s needs.
Treat Atypical Solutions staff with courtesy and respect.
Communicate any concerns about the supports being provided.
Give the required notice if unable to attend a scheduled appointment (noting that cancellation policies will apply).

5. Payments

Atypical Solutions will seek payment for supports after delivery by issuing an invoice for payment. Payment methods include:

Direct Bank Transfer

6. Changes to this Service Agreement

Any changes to this Service Agreement will be discussed and agreed upon in writing by the parties.

7. Ending this Service Agreement

Either party can terminate this Service Agreement with two weeks’ notice. Immediate termination can occur if there is a serious breach by either party and/or when written agreement has occurred with Executive Manager of Atypical Solutions.

8. Feedback, Complaints, and Disputes

Clients can provide feedback or lodge complaints with Atypical Solutions by contacting:

Tara Maggs - Executive Manager
� tara@atypicalsolutions.com.au
� 0480 484 213

If the issue is not resolved, complaints can be escalated to an external consumer protection agency.

9. Cancellation Policy

Atypical Solutions has a strict cancellation policy as follows:

Cancellations more than 7 days prior to program commencement will incur a 10% handling fee, with the balance refunded.
Cancellations within 7 days of program commencement will not be refunded, but a full credit will be issued for future bookings within 12 months.
Cancellations less than 48 hours before the scheduled session will incur a full fee with no credit or refund provided.

Where Atypical Solutions cancels a support due to operational reasons, the service will not be charged and can be rescheduled at no penalty to either party.

Repeated cancellations or no-shows within a 12-month period may result in a review of the client’s enrolment in the program.

I have read and understood the cancellation policy: *

Yes

13. Consents

General Consent to Services

I agree to receive services from Atypical Solutions as outlined in this Service Agreement. I understand the scope and nature of the services to be provided.

Privacy and Confidentiality Consent

I consent to Atypical Solutions collecting, storing, and using my personal and sensitive information in accordance with the Privacy Act 1988. I understand that my information will be kept confidential and only used for the purpose of providing services.

Information Sharing Consent

I consent to Atypical Solutions sharing relevant personal information with other healthcare providers, family members, or support networks as necessary for the provision of services. The types of information that may be shared include, but are not limited to, medical history, care plans, and service records.

Emergency and Medical Consent

I consent to Atypical Solutions contacting emergency services or medical professionals in case of an emergency and sharing necessary medical information with emergency responders to ensure my safety and well-being.

I consent to Atypical Solutions providing basic first aid in the event of an injury or medical emergency during participation in activities or programs.

I understand that:

Atypical Solutions staff may administer basic first aid treatment, including but not limited to bandaging, wound cleaning, or applying cold packs.
In the case of a serious incident, Atypical Solutions will contact emergency services (000) and provide them with relevant medical information.
Every effort will be made to notify the emergency contact person as soon as possible.
Atypical Solutions is not liable for any costs associated with medical treatment or emergency services.

I confirm that I have disclosed any relevant medical conditions, allergies, or specific first aid requirements to Atypical Solutions.

Third-Party Consent

I consent to Atypical Solutions communicating with third parties, such as government agencies, funding bodies, or other service providers, to coordinate care and funding. This includes sharing information with the NDIS or My Aged Care as required.

Review and Feedback Consent

I consent to participate in service reviews and provide feedback to Atypical Solutionsfor quality improvement purposes. I understand that my feedback may be used in an anonymised form for service improvement and reporting.

Technology and Digital Services Consent

I consent to the use of digital tools, Telehealth services, or electronic health records by Atypical Solutions for my care. I understand how my digital data will be managed and protected in accordance with applicable privacy laws.

Marketing and Communication Consent

I consent to receive communications from Atypical Solutions about services, updates, and events. I understand that I have the option to opt-in or opt-out of marketing communications at any time.

YesNo

14. Signatures

The parties understand and agree to the terms and conditions of this Service Agreement

I have read and understand the terms of the agreement *

Yes

Agreement Start Date:

Agreement End Date:

Today’s Date *

Signature *

Draw signature|Type signatureClear

Full name of Client / Representative *

Tara Maggs

Director

Atypical Solutions TM Pty Ltd