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Here2Home Plan Management Consent Form

COMPLETE THIS FORM WHEN YOU WANT TO PROVIDE OTHER PEOPLE WITH CONSENT TO LIAISE WITH HERE2HOME ABOUT YOUR NDIS PLAN.

Birthday
Day
Month
Year
I would like to give consent to

Consent Types


General Consent - Allows a person to request information from Here2Home about your funding and invoices


Account Nominee - Allows a person to request information from Here2Home about your funding and invoices, Make changes to profile details and consent and has decision making authority. 

I would like to authorise the following type of consent:

If you require invoices to be pre-approved before our accounts team process them. Please contact us on (08) 7123 4162  or email pm@here2home.com.au to arrange this to be setup.


Terms and Conditions

  • You should only provide consent to a trusted person

  • The form can only be completed by the Participant or an Account Nominee

  • If the participant is 18 or older, they will automatically be an Account Nomiee.

    • If the participant is 18 or older and they should not have access to being an Account Nominee, Here2Home require a copy of legal documentation to demonstrate a Guardianship or relinquishing of decision making.

    • If there is a dispute between the participant and the Account Nominee regarding choice and control, Here2Home will follow the wishes of the Participant unless the legal documentation highlighted above is provided.

  • No one will be able to request any information from Here2Home regarding an account without consent.

  • If is the Participant and/or Account Nominees responsibility to contact Here2Home to add or remove consent.

Agreement

I am
The Participant
The Account Nominee
Neither
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Sign Here

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