STAN Consultation / Hire Form

STAN Consultation / Hire Form

Parent / Carer Contact Details

Name*
Address

Allied Health Contact Details

Name*
Address

Funding Details

DD slash MM slash YYYY
Send invoice / quote to:*

Client Information

Name*
DD slash MM slash YYYY
Tell us about your client's medical conditions*

We understand that it can be complex to specify a medical condition and that there can be multiple factors. The above information is just to give us a snapshot and we will gather all information during the consultation.

Additional Information

The make and model of the vehicle will inform which products we recommend. It is also necessary that the noted vehicle is present at the initial consultation appointment.
DD slash MM slash YYYY
What is your preferred appointment time?*
:

General Terms & Conditions

These Terms and Conditions apply to quotes / invoices supplied for consultation services by Kidsafe SA at an agreed location.

We use the following term:

  • “Kidsafe SA” means Kidsafe South Australia Inc.
  • “Client”, “you”, or “your” means your service / organisation or individual (parent / carer).

Quotes

Quotes are estimates based upon the products / accessories trialled by the client and or other party. Quotes are subject to change in the event of product price increases.

Quotes are only valid for 60 days from the date of issue.

Code of conduct

Requires workers and providers who deliver mobility and disability service to:

  • Respect for individual rights to freedom of expression, self-determination, and decision-making in accordance with relevant laws and conventions.
  • Respect the privacy of people with disability.
  • Provide support and services in a safe and competent manner with care and skill.
  • Act with integrity, honesty, and transparency.
  • Promptly take steps to raise and act on concerns about matters that might have an impact on the quality and safety of supports provided to people with disability.
  • Take all reasonable steps to prevent and respond to all forms of violence, exploitation, neglect, and abuse of people with disability.
  • Take all reasonable steps to prevent and respond to sexual misconduct.

Product availability

Kidsafe SA does not stock large quantities of products. Sometimes there may be a delay in delivery for any product that is not in stock.

Completion of service agreement

The service agreement will cease once all approved products have been supplied and installed by Kidsafe SA, or Kidsafe SA has been notified by parties involved they no longer wish to proceed. At this stage any applicable consultation fee/s must be paid in full.

Re-trial / 2nd consultations:

Fees for subsequent consultations are applicable as per our service agreement.

Cancellation policy

At our discretion we may invoice for any work or expenses if any consultation is cancelled within 12 hours of the confirmed date and time of the booked service or not attended.

Product/ service satisfaction

If you or the client have any concerns regarding a service or product provided by Kidsafe SA please contact Kidsafe SA directly on 08 7089 8554 or email enquiries@kidsafesa.com.au.

All products supplied have warranties, both express, and implied. It is the client’s responsibility to ensure warranty terms and conditions have been met. The warranty for a product will be voided if it is damaged due to neglect or misuse.

Confidentiality

It is agreed that employees of Kidsafe SA shall not at any time either during the consultation or thereafter, divulge any confidential information about the client to anyone whatsoever without the client’s consent in writing.

Trial products

Policies and procedures are enforced to ensure the security of our equipment. By agreeing to hire Kidsafe SA equipment and products, you agree to follow the procedures, terms and conditions.

  1. The customer will accept full responsibility of the trial equipment for any damage, loss or disfigurement sustained while in your possession.
  2. The customer agrees to pay the costs of any required repairs or replacement for the equipment lost or damaged. A piece of equipment is considered to be lost if it is not returned with all components supplied within 3 weeks of due date. An invoice for the replacement cost of lost equipment will be sent if it is not returned within 3 weeks of due date.
  3. The customer is deemed to be in possession of the product from the point in which they receive the equipment. The equipment will be deemed to have been returned when the equipment has safely arrived to the Kidsafe SA premises.
  4. The customer is responsible for the return of the equipment by the agreed due date. A late fee will be charged on a daily basis for any late returns. Merely shipping out the equipment before the due date will not be accepted, and the customer must ensure the product is returned on or before the due date to Kidsafe SA premises.
  5. The trial equipment must be returned in full. Partial return or missing components will not be accepted. The equipment will not be deemed to have been returned until all components are returned.

The customer will not perform any repairs or alterations to the trial equipment.

Extension of equipment trial must be approved by Kidsafe SA staff and additional fees will apply.

Liability

Loss, Theft or Damage

You indemnify Kidsafe SA against all loss, damage, liability, costs and expenses incurred by Kidsafe SA in connection with any loss, theft or damage to the trial equipment(s) occurring as a result of the use of the child car restraint and or harness(s), except to the extent caused by Kidsafe SA.

Personal Injury

You indemnify Kidsafe SA against all loss, damage, liability costs and expenses incurred by Kidsafe SA in connection with any personal injury to or death of any person occurring as a result of the use of the trial equipment(s), except to the extent caused by Kidsafe SA.

You acknowledge that:

  • Kidsafe SA has demonstrated how to use the trial equipment or provided instruction manuals for the products hired to you; and
  • You have examined and inspected or have had every opportunity to examine and inspect the equipment and you are fully aware of all risks relevant to the trial.

You understand that:

  • Any equipment hired to you is on an ‘as is’ basis and Kidsafe SA is not liable if the equipment is not fit for your intended purposes or otherwise not in the condition or state necessary for use by you;
  • To the extent permitted by law, all implied warranties, guarantees and representations in connection with the hire of the trial equipment are excluded by Kidsafe SA;
  • To the extent permitted by law, the liability of Kidsafe SA for a breach of any such warranties, guarantees and representations or liability which by law cannot be excluded is limited, at Kidsafe SA's option, to the repair of the trial equipment or the cost of having the equipment repaired or resupplying the equipment; and
  • Except to the extent of any liability that cannot by law be excluded, the maximum aggregate liability of Kidsafe SA for any liability, loss, damage claim, expense or action whatsoever in connection with the trial of the equipment is limited to the Trial Fee.

Service Agreement & Fees

In person consultation fees | Seating solutions

  1. Our fee for in person consultation is $193.00 per hour within 50km of the Adelaide CBD. For locations outside of Adelaide CBD, travel/accommodation costs are in addition to the consultation fee. A Service booking is required before a consultation appointment can be confirmed.
  2. An invoice for in-person consultations will be issued at completion of the appointment and is payable within 14 days.
  3. Consultation fee/s are payable by the client even if funding is not approved/available, and regardless of the quotation being accepted.

Online Consultation Fees | Seating solutions

  1. Our online consultation fee is $85.00 per 30mins or part thereof.
  2. An invoice for an online consultation will be issued at the completion of the appointment and is payable within 14 days.
  3. Consultation fee/s are payable by the client, even if funding is not approved/available and regardless of the quotation being accepted.

Following Consultations

  1. Following a consultation, any products requested for trial will be invoiced.
  2. After consultation, a quote for purchase, delivery and installation and supply of agreed products e.g. child car restraint, modifications, harnesses or accessories will be sent at the same time as the consultation invoice.
  3. We will not send you any products or equipment until payment has been received and this will be in addition to any other consultation fees.
  4. A follow-up online consultation at the end of the trial period is recommended to ensure the product is working and being fitted properly. Consultations are conducted via Zoom and are charged at $85 for 30min.

Trial Products

  1. Some products can be made available for trial at a rate of $150 per week for the first product. Additional products/equipment in the same trial will be charged at $110 each per week.
  2. If a product on trial meets your needs, then we can provide you with a quote or invoice for purchase.
  3. Trial products remain the property of Kidsafe SA and cannot be retained for purchase.
  4. If you borrow a product for trial then it is your responsibility to make sure it is not lost or stolen, and it is not damaged. You agree to pay the replacement cost for any product that is not returned within 3 weeks of a trial end date, or for any product(s) returned with damage.
  5. Near the end of the trial period, a follow-up 30-minute online consultation is recommended. If any products need to be changed then a revised quote may be necessary.
Clear Signature
By signing you agree that you have read and understood Kidsafe SA's terms and conditions and service agreement.

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