Territory Disability Services

Easy read consent form consolidated

Easy read consent form consolidated

Easy Read Consent Form - Consolidated

Easy Read Consent Form

Territory Disability Services

Complaints

You can complain if you are not happy with your supports, workers, or provider. You may:

  • Talk to (Provider Name) on (Phone number)
  • Ask a trusted person or advocate to help you
  • Talk to NDIS Commission: 1800 035 544 or online

We will keep your complaint private and try to fix the problem.

Incidents

An incident is any harm, potential harm, or reportable event (e.g. injury, abuse, neglect, restrictive practices).

  • We record what happened, who saw it, and when it was reported
  • We make sure you are safe and supported
  • We consult with you or your advocate during the process
  • If needed, we report incidents to the NDIS Commission

Service Agreement

A Service Agreement is a written agreement between you and your provider about supports, costs, responsibilities, and how to solve problems.

  • You can ask a trusted person to help with the agreement
  • It should include supports, responsibilities, costs, and how to make changes
  • Both you and the provider sign the agreement, and you keep a copy

Privacy

We store your personal information (name, contacts, health details) safely.

  • We use your information to support you
  • We only share it with permission, unless required to keep you safe or by law
  • You have rights to see, correct, or object to information

Rights

People with disability have the same rights as everyone else. You should:

  • Be safe, respected, and included in community life
  • Participate in your culture, religion, or language
  • Make complaints or change providers
  • Choose workers and how supports are delivered
Acknowledgement & Consent

I confirm I have read and understood the information in this form about complaints, incidents, service agreement, privacy, and rights.


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