Let’s work togetherPlease complete the form below to register as a Service Provider Primary Contact Person * First Name Last Name Business Trading Name Email * Please Click Sign Up for news & Update to receive your provider agreement via email. Phone (###) ### #### ABN Number * Business Or Billing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Accounts email for Remittance (If Different from Above) Please list the email address (if different from your main contact email) that you would like remittance and account enquiries sent to What services do you provide? Please select all that apply! Social Support Work Personal Care Work Domestic Support Work Allied Health Service Meal Prep/Delivery Travel/Transport Property Maintenance Nursing More/Other Do you have an hourly rate for your primary service? Please ensure the amount entered is Excluding GST $ Anything you would like to add? Thank You for registering with AkinCare!Your provider registration form has been successfully submitted. We genuinely appreciate you taking the time to partner with AkinCare to provide the best possible care. Our Partnerships Team in collaboration with Betts Care Management will now carefully review the information you've provided and get you set up in our system. We are committed to building a network of high-quality providers who share our passion for delivering exceptional, person-centred support. We will be in touch within the next 1-2 business days to onbaord you and provide you with the provider agreement.For enquiries please contact hello@akincare.com.auTo submit an invoice for payment please email: invoices@akincare.com.auOr callus on 1300 140 473We believe that strong collaborations are the key to achieving the best outcomes, and we look forward to the possibility of working together.Sincerely,The AkinCare Team
