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NDIS Service Agreement, Continuum Teletherapy and Allied Health

This agreement sets out the NDIS supports Continuum will provide to you, what they cost, how we get paid, and what each of us is responsible for.

Please read it before you sign. If anything is unclear, ask us and we will explain it, or go through it with someone you trust. You can have a family member, friend, advocate or support coordinator help you with this.

Your Details

Full legal name

Date of birth

NDIS participant number

Your email address

Your phone number

Emergency contact name

Emergency contact phone number

Who is signing

Who is completing this agreement?

How your plan is managed

Continuum can work with participants whose plan is agency managed, plan managed or self managed.

How is your NDIS plan managed?