Fee Schedule Consent Form

NDIS Participants & Families

Fee Schedule Consent Form - NDIS Participants & Families

Terms of engagement:

I have received a copy of the fee schedule for “Play Therapy with Millie” and consent to paying this fee on a weekly basis for the ongoing booking of this child


There is no contract where you are ‘locked-in’ to a certain time frame; however, we do ask where possible the family give at least 1 weeks’ notice if family will be terminating our services. If we feel we can no longer offer this child our services, we will advise you with as much notice as possible.

Some families engage for a short-term intervention (6-8 weeks) and others may use these services for several years. However, we do ask that you keep communication open around the length of time you think you will be engaged in therapy/support sessions if you know in advance. This supports us to communicate with the child during our sessions how many we have left to prepare them for change. Notice of ending therapy/services also allows us to advise families on our waitlist how long we think they may be waiting for a booking with us.


Cancellation:

I am aware and acknowledge that if the child is unable to make their session, the parent/guardian will need to inform the business as early as possible, or I will still be required to pay a fee. A text is sent to the parent/guardian mobile 24 hours in advance for you to confirm booking.

If the business is not informed 5 days prior to the child’s session of an absence, your provider will still receive an invoice asked to pay 100% of the total fee for this session; unless we are able to offer to another child/family.


Payment:

Payment of services are due within 5 days of receiving your invoice. Any queries about the fees or what is on your invoice please email: accounts@playtherapytas.com.au


Referral Form

Playtonomy AI Policy and Consent

 

I understand that Playtonomy may use artificial intelligence (AI) tools such as ChatGPT to assist in writing clinical notes or reports related to my child’s care.

I acknowledge that:

  • All personal identifying information, including my child’s name, will be removed before any information is processed by AI.
  • AI will only be used to assist in drafting documents; all final content is reviewed and approved by qualified clinicians.
  • My consent is voluntary, and I can withdraw it at any time by informing the service.
  • The use of AI is intended to improve efficiency but does not replace clinical judgment or personalized care.

I give permission for Playtonomy to use AI tools for my child’s clinical documentation.

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