Cancellation Clause
Where a provider has a short notice cancellation (or no show) they are able to recover up to 100% of the fee associated with the activity from the Participant. A cancellation is a short notice cancellation (or no show) if the participant:
Has given less than 2 clear business days’ notice for a support that is less than 8 hours continuous duration and worth less than $1000.
Does not show up for a scheduled support in clinic, or is not present at the agreed place and within a reasonable time when the provider is travelling to deliver the support
To cancel an appointment, Participants or their Nominee/Representative can notify the reception of Allied Health Services Australia/Paediatric Centre Gold Coast within the business hours of 8:30am-5pm. Where supports are cancelled with notice, no charge applies. In the event of cancellation without notice, or the participant no shows, Allied Health Services Australia will charge the participant up to 100% of the full fee, which they are personally liable for. In the circumstance where a Participant may not attend their appointment due to illness, the Participant/ Participant’s Nominee or Representative must provide 2 clear business days’ notice prior to Participant’s scheduled appointment, or the cancellation fee of up to 100% of the full fee will apply. The Provider acknowledges that illness may occur unexpectedly, and in this instance, it will be up to the Providers discretion as to whether the cancellation fee will apply once notice has been received from the Participant/ Participant’s Nominee or Representative. Opportunity to provide a medical certificate will be provided up to 48hours post the scheduled appointment time to waive the cancellation fee if medically related. The cancellation policy is current as per the December 2020 NDIS QLD Price Guide.
Agreement to Pay Scheduled Fee
I acknowledge that Allied Health Services Australia and/ or Rehabilitation At Home, Physiotherapy Rehabilitation Services and/or any other associated business or company is not responsible if my NDIS payment/funding request is rejected, and as such I take full responsibility to pay for all costs incurred for my treatment. It is the Participant/Participant’s Nominee or Representative’s responsibility to ensure their eligibility for funding of supports requested as services from Allied Health Services Australia. Fees are subject to change at any time at the discretion of the clinician or any member of Allied Health Services Australia or Rehabilitation at Home, Physiotherapy Services or any other associated business or company. Fee changes will be in line with the NDIS price guide and associated pricing arrangements.
Disclaimer
It is accepted that a high level of duty of care will be held during all treatments suggested and carried out with participation of the patient and with the assistance of the treating Clinician or Allied Health Assistant or any other clinician or therapist from Allied Health Services Australia and/or Rehabilitation At Home, Physiotherapy Rehabilitation Services and/or any other associated business or company. All Clinicians and therapists are suitably qualified reflecting industry standards and trained appropriately. In addition, it is acknowledged and accepted that with all treatments, although very rare in occurrence, there are inherent risks that may lead to harm despite all reasonable care being taken. Inherent risks include falls, additional pain and discomfort, over exertion, exacerbation of signs and symptoms and at worst however extremely rare, circumstances that arise from your pre-existing condition which may result in injury or death; therefore
you waive release, and discharge the treating Clinician or Allied Health Assistant or any other clinician or therapist from Allied Health Services Australia and/or Rehabilitation At Home, Physiotherapy Rehabilitation Services and/or any other associated business or company from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from place of treatment. At any time, clinicians’, therapists or staff have the right to refuse you treatment within reason.
Confidentially Clause
Patient or Guardian agree to grant permission for Allied Health Services Australia and/ or Rehabilitation At Home, Physiotherapy Rehabilitation Services and/or any other associated business or company and its staff to disclose where reasonably necessary any required medical and personal information to third parties including but not limited to: general practitioners, other clinicians, hospitals, legal firms, insurance agencies acting on your behalf and other health professionals in the event that reasonable information is required in an attempt to provide for my optimal health and physical progression. This may also include contacting emergency authorities at treating clinicians or therapists or any member of Allied Health Services Australia and/ or Rehabilitation At Home, Physiotherapy Rehabilitation Services and/or any other associated business or company’s discretion, within duty of care. Patient or Guardian also provide consent to provide personal details to a third party if the need arises to recover unpaid fees for services received.
Audio-Video Monitoring and Student Training
By signing this document, I am aware and understand that from time to time Audio-Video monitoring of treatment sessions may take place, which may include my consultation, for quality assurance, mentoring and training purposes.
Communication
By submitting this document, you agree to allow the Allied Health clinician to contact and communicate between a variety of clinician’s regarding your care.
