Balaa Professional Services

Professional Services Referrer Details

Type of Service

Child or Young Person’s Identifying Information

DD slash MM slash YYYY

Parent Caregiver Details

Legal Status

Legal Status

Details of Referral

DD slash MM slash YYYY
DD slash MM slash YYYY
e.g. - 6 months
e.g. - one off, fortnightly etc
e.g. - monthly
e.g. - Genogram, case plan etc
Max. file size: 128 MB.
Max. file size: 128 MB.


a. In the event that the referrer cancels, recalls or suspends a Request for Services Form after 2:00pm the day before, the referrer will pay the Service Provider a sum equivalent to 3 hours of the staff rate for the applicable Service Type. No fee in respect of transport costs will be payable.
b. A minimum engagement period per mentoring event of 3 hours, including 1 hour report writing time applies for each mentoring referral.
c. Any fees or cost associated with of lateness on the part of a client, carers or parents, or other Service Provider, will be payable by the referring service.
d. Report will be available to the referrer within 48 hours of the event where requested.
e. All accounts are payable within 14 days of invoicing, multiple events will be invoiced monthly.
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