SERVICE SCHEDULE
ExternallyFunded Service Providers - Engagement Agreement
Calendar Year:
School Name:
Student Name:
Contractor Name:
Contractor Personnel Name:
Please Select
Andrew Han
Honghui Xu
Lauren Sung
Irvine Agbayani
Kathy Prasad
Vinita Raj
Jasse Jang
Cherylin Zhu
Clare Spillane
Kimberly Saw
Gayathri Venkatesan
Clara Cam
Gwen Gan
Komal Parikh
Contractor Personnel WWCC Details:
Working With Children Check clearance details
Services to be delivered to the student
Physiotherapy
Occupational Therapy
Speech Pathology
What are the expected goals of the therapy services and how will progress be measured?
Describe how the goals of the therapy align with the student’s learning needs, and how progress towards these goals will be measured.
Service delivery schedule
Please put in the day, time and duration of the service.
Agreed school facilities/equipment to be used during school-based service delivery. Externally Funded Service Providers - Engagement Agreement
A room is required
In-class services
Other
Agreed provider equipment to be used during school-based service delivery
NA
Supervision arrangements
The Therapist can be observed at all/any time/s through an open door or window of the allocated therapy space. SLSO/teacher can supervise as required, in the classroom.
Duration of service delivery
Full 2025 year
A copy of this Schedule is to be kept on the student’s individual file by the school.
Submit
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