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Enrolment Form

Please complete the enrolment form before the start of the program—one form per child.

Child's Details
NDIS Details

We are only able to process self-managed and plan-managed
NDIS claims.

Are you claiming through NDIS?
Emergency Contact
Medical Details
How did you hear about us?
Marketing - Photographs
I consent to my child being photographed. I consent to the photgraphs being used for marketing purposes.

Terms and Conditions

The Discovery Program aims to provide a learning environment that is safe and harmonious for all participants. Group play therapy is not necessarily suitable for all children. Should the coordinator determine this is the case for an attendee, we will work with the family to recommend alternative therapy options.

Within our limits of confidentiality, we endeavour to work with parents and teachers, assisting in creating strategies that can be implemented at home and in the classroom.

The Discovery Family Therapy are committed under the Privacy Act 1988 (Cth), to protecting your privacy and the confidentiality of any personal information you may provide during the sessions.

Cancellation policy

We ask that you give as much notice as possible of cancellation so that another child may fill your spot whose attendance will be beneficial.

  • Cancellations with more than 48 hours' notice will not incur a fee.

  • Cancellations with less than 48-hour notice will incur a 50% cancellation fee.

  • Non-attendance – Failure to cancel your appointment will incur a 100% no-show fee.

 

Please note that your child's space will be confirmed once payment has been received.

Payment Options:
EFTPOS or Credit card is preferred. No cash is accepted for this program.

 

Confidentiality:

Everything shared during the program will be treated as highly confidential.  However, there are a few circumstances in which it may be required to break confidentiality.

 

These include:

 

  • If an individual is at risk of serious harm or seriously harming themselves or someone else.

  • If a court of law has requested the records.

  • If another party or agency has requested your information, you have agreed to provide written consent.
     

Your Program Coordinator will take notes during or after each session to help keep track of progress.  These notes will be stored in a private and secure location and may be viewed by you. The service will keep your counselling records for seven years from the date of your last contact with the service.

 

Record-Keeping:
All relevant information to your program services, including the forms you have filled in and notes for each session, are kept. These are critical to keeping track of your progress together and for accountability. These notes are stored securely for seven (7) years. You have the right to view the records kept upon request.

 

Contact Between Sessions:
Email or telephone contact will only be limited to practical arrangements, such as booking or altering session times or scheduled follow-up calls. If you have an emergency between sessions, don't hesitate to contact the appropriate emergency service. In a life-threatening situation, call 000 without delay.

 

No-Show and Cancellation Fees:

Our Program Coordinators have scheduled their day to ensure they are available for their clients. Please note that non-attendance fees and late cancellation fees will apply. 

NDIS Participants:
We are able to claim a portion of the total cost of the program from NDIS for self-managed and plan-managed participants only.

Claims will be made under Capacity Building Therapeutic Supports, offering a rebate of $86.79.
 

ACCIDENT WAIVER AND RELEASE OF LIABILITY 

 

Discovery Program

 

I HEREBY ASSUME ALL OF THE RISKS OF MY CHILD WHILE PARTICIPATING OR ATTENDING THIS ACTIVITY, namely Discovery Program, including by way of example and not limitation to any PHYSICAL HARM OR STRUCTURAL DAMAGE that may arise from negligence or carelessness on the part of the persons or entities arising from dangerous or defective equipment or property owned, maintained, or controlled at the premises or because of their possible liability without fault.

I certify that my child is physically fit and that no health-related reasons or problems preclude his/her participation in this activity.

I acknowledge that Discovery Family Therapy will use this Accident Waiver and Release of Liability Form and that it will govern my child’s actions and responsibilities at the said activity.

In consideration of my application and permitting my child to participate in this activity, I hereby take responsibility for my child as follows:

  1.  I WAIVE, RELEASE, AND DISCHARGE from 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 my child including him/her travelling to and from this activity.

 

  1.  I INDEMNIFY, HOLD HARMLESS, AND WILL NOT SUE the entity and/or persons organising this activity and waive them from all liabilities or claims made as a result of participation in this activity, whether caused by the negligence or release or otherwise.

I understand that at this activity, my child may be photographed.  I agree to allow my child’s photo, video, or film likeness to be used for marketing by Discovery Family Therapy.  Should you not wish to allow your child’s photo, video, or film likeness to be used for marketing purposes by Discovery Family Therapy, please send an email stating such to admin@discoverytherapy.com.au

The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

Done! Thanks for submitting.

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