Easy read consent form consolidated Easy read consent form consolidated Please enable JavaScript in your browser to complete this form. 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. Participant / Guardian Name Signature (type name) Date Provider Representative Name Signature (type name) Date Submit Reset Submit