Commonwealth Home Support Programme AgreementSeptember 22nd, 2020
FiledSeptember 22nd, 2020Date of this Agreement Service Provider (We, us) Name: Alzheimer’s Association of Queensland IncABN: 74 688 640 790Address: 47 Tyron Street, Upper Mount Gravatt, Queensland, 4122Phone: Email: Consumer (You, your) Name: Address: Phone: Email: Consumer's Authorised Person Name: Address: Phone:Email:Relationship to consumer:Attorney appointed under an Enduring Power of Attorney for financial decisions (Qld/NSW)Attorney appointed under an Enduring Power of Attorney for personal/health decisions (Qld)Enduring Guardian appointed under an Enduring Guardian form for medical and lifestyle decisions (NSW)Administrator appointed to make financial decisions under Orders of QCAT (Qld) or NCAT (NSW)
Commonwealth Home Support Programme AgreementSeptember 22nd, 2020
FiledSeptember 22nd, 2020Date of this Agreement Service Provider (We, us) Name: Alzheimer’s Association of Queensland IncABN: 74 688 640 790Address: 47 Tyron Street, Upper Mount Gravatt, Queensland, 4122Phone: Email: Consumer (You, your) Name: Address: Phone: Email: Consumer's Authorised Person Name: Address: Phone:Email:Relationship to consumer:Attorney appointed under an Enduring Power of Attorney for financial decisions (Qld/NSW)Attorney appointed under an Enduring Power of Attorney for personal/health decisions (Qld)Enduring Guardian appointed under an Enduring Guardian form for medical and lifestyle decisions (NSW)Administrator appointed to make financial decisions under Orders of QCAT (Qld) or NCAT (NSW)