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Associated Provider Onboarding  Clinical Care Contractor 

Service Agreement 

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Instructions for Completing the Associated Provider Service Agreement (Clinical Care)

  1. Downdload a opy of the Associated Provider Service Agreement

  2. Complete all relevant sections accurately - specifically pages 2, 31-39, 45-46, 50

  3. Ensure an Active ABN is provided on page 31

  4. Ensure that pages 45 & 46 (Statutory Declaration) have been signed and witnessed

  5. Ensure that you have completed and signed page 50 (Associated Provider section)

  6. Go to Step 2 and upload the relevant documents

Clinical Contractor Compliance Requirements
Mandatory (attach all):
  • Active ABN 

  • Valid photo ID - NSW Driver Licence, NSW Photo ID or Passport (or professional Registration such as AHPRA for RN, EN, Allied Health Professionals) 

  • Police check no older than 3 years or current NDIS Worker Screening Check*

  • Public Liability Insurance Certificate of Currency - minimum $20,000,000 for clinical contractors

  • Certificate of professional registration such as AHPRA registration (RN, EN, Allied Health Professionals)

* note: for clinical providers with multiple employees, the signed and witnessed statutory declaration within the Service Agreement will suffice in lieu of individual police checks.

Where applicable:
  • Working With Children Check (*mandatory for any NDIS-related service provision)

  • ​Workers Compensation Certificate of Currency (where there are employees)

  • Overseas Criminal History Check, if relevant

Submission Instructions
  • Enter Business Name and Email address

  • Ensure all mandatory documents have been attached, along with other attachments as relevant

  • Ensure all relevant pages of the Service Agreemen have been completed - specifically Page 2, 31-39, 45-46, 50 before uploading

  • Ensure an active ABN is provided on page 31

  • Ensure that Pages 45 & 46 (Statutory Declaration) have been signed and witnessed

  • Ensure all documents are current, clear and legible

  • If you experience any issues uploading documents, please email them to contractors@omnicare.org.au

For any issues or enquiries please reach out to us at contractors@omnicare.org.au or

call 1300 336 488

Document Quality

Please ensure all documents are current, clearly legible, and complete. Certiciates of Currency must be valid as at the date of submission.

Step 2.

Enter your business details and upload your supporting documents below

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Thanks for submitting!

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