About this template
Streamline the onboarding and contracting process for National Disability Insurance Scheme (NDIS) participants with this structured service agreement form template. Designed for service providers, support coordinators, and care practices, this form captures critical participant details, NDIS numbers, representative information, and specific funding categories clearly and securely. It outlines terms of service, pricing structures, schedules of support, and payment methods to ensure complete transparency between providers and participants.
Using Doc2Form, you can instantly turn this document into a ready-to-use Google Form, making it simple to share digitally with participants or their nominated representatives. Collecting digital agreements eliminates messy paperwork, speeds up the approval process, and ensures your practice maintains accurate records for every funding plan. Customize the fields to reflect your specific hourly rates, therapy programs, or support services without hassle.
Key features
- Capture participant and representative details in one organized form.
- Specify NDIS funding categories, program names, and unit pricing.
- Outline scheduling details including days, times, and session frequencies.
- Collect secure digital acknowledgments and signing dates.
- Easily converted and managed directly through Google Workspace.
Use cases
Establishing new service agreements between independent support provi…
Establishing new service agreements between independent support providers and NDIS participants.
Onboarding clients for ongoing therapeutic or allied health services.
Updating existing support schedules and funding allocation plans.
Recording guardian or authorized representative consent for plan mana…
Recording guardian or authorized representative consent for plan management.
What this form collects
- Agreement Date (Date)Select the date this service agreement is being completed.
- Participant Full Name (Short answer)Enter the full legal name of the NDIS participant.
- NDIS Number (Short answer)Provide the participant's 9-digit NDIS reference number.
- Email Address (Short answer)Enter the primary email address for ongoing communication and updates.
- Phone Number (Short answer)Enter the best contact phone number.
- Residential Address (Paragraph)Enter the participant's full residential address.
- Participant Representative Full Name (Short answer)If applicable, enter the full name of the nominee, guardian, or plan manager completing this on behalf of the participant.
- Representative Relationship (Short answer)Specify the representative's relationship to the participant (e.g., Parent, Legal Guardian, Plan Manager).
- Representative Phone Number (Short answer)Enter the contact phone number for the representative.
- Funding Category (Dropdown)Select the primary NDIS funding category being utilized for these services.
- Program Name / Support Item (Short answer)Specify the name of the program or specific NDIS support item code.
- Price / Unit of Measure (Short answer)Enter the agreed price per unit (e.g., hourly rate according to the NDIS pricing arrangement).
- Quantity of Sessions (Short answer)Enter the total number of sessions or units agreed upon.
- Total Amount (Short answer)Enter the calculated total cost for the scheduled supports.
- Schedule of Support: Day and Time (Short answer)Describe the preferred days and times for service delivery (e.g., Tuesdays at 10:00 AM).
- Frequency of Support (Multiple choice)Select how often supports will be delivered.
- Method of Payment (Multiple choice)Select how invoices will be managed and paid.
- Participant / Guardian Confirmation & Sign-off (Short answer)By typing your full name and submitting this form, you acknowledge and agree to the terms of this NDIS service agreement.
FAQ
What is an NDIS Service Agreement?
An NDIS Service Agreement is a formal arrangement between a participant and a service provider that outlines what supports will be delivered, the associated costs, and the responsibilities of both parties.
Can I customize the pricing and funding categories?
Yes! Once you generate your Google Form via Doc2Form, you can fully edit all options, pricing fields, and support categories to match your specific offerings.
How do participants sign the agreement?
The form includes dedicated fields for participant and representative names, signing dates, and digital acknowledgment to ensure clear authorization.
Is this template free to use?
Yes, Doc2Form allows you to instantly convert and use this template as a Google Form at no cost.
Where do form responses go?
All submissions are automatically saved to a connected Google Sheet, making it easy to review, track, and manage all your active client agreements.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.