Focus Insurance

Guidance Notes

a. It is vitally important that you complete this form accurately to comply with your important Duty of Disclosure obligations
b. This policy is only available to ACA members domiciled in Australia
c. This policy will only cover counselling and psychotherapy practices/modalities that form part of your counselling qualifications recognised by Australian Counselling Association
d. This policy can be extended to cover other approved Allied Health Modalities / Services that can be selected below. Cover will only apply if you hold industry recognised qualifications.
e. This policy is for sole practitioner ACA members only. If you operate a Counselling or Allied Health clinic that employ other allied health practitioners, please contact our office to discuss.

Thank you for taking the time to visit us. It will take you approximately 90 seconds to obtain a quote and another 3 minutes to arrange your cover and receive your policy documentation.

Please fill out your details below to obtain your insurance quote

Are you a member of the Australian Counselling Assocation?

Yes No

Are you in the process of applying for membership?

Yes No

Australian Counselling Association Membership Number

Do you hold industry recognised qualifications for the modalities / activities you have selected above?

Yes No

Please select the NDIS service's that apply to you

Please provide details

NDIS Support Work additional questions

Please tick the services you provide below

Personal Care

Please detail other services provided

"Unfortunatley we are not able to offer cover for domestice assistance services under this policy. Please contact our office if you would like a separate policy for this work"

Home Maintenance

Please detail other services provided

"Unfortunatley we are not able to offer cover for home maintainace services under this policy. Please contact our office if you would like a separate policy for this work"

Social & Lifestyle Support

Please detail other services provided

Allied health/Therapy

Please detail other services provided

Do you hold industry recognised qualifications for the modalities/activities you require cover for?

Yes No

Do You hold industry recognised and relevant qualifications (minimum of 50 hours study) for all activities You have selected above requiring Cover?

Yes No

Provide details of qualifications

Other Activities

Do you provide any other services, modalities, activities not listed above and for which You require cover for ?

Yes No

Please detail other services provided

Do you conduct, manage or provide workshops with over 20 participants at any given time?

Yes No

Do you conduct, manage or provide retreats / provide accommodation / overnight stays ?

Yes No

"Unfortunatley we are not able to offer cover for retreats, accommodation, overnight stays under this policy. Please contact our office if you would like a separate policy for this work"

Do you sell, supply, distribute, manufacture, licence goods or products OTHER than books, magazines, written or online material relating to counselling services ?

Yes No

Please describe nature of such goods or products

Do any of the activities You undertake involve invasive procedures or piercing of skin?

Yes No

General Questions

Other than administration support or student practitioners, do you employ or contract other profesional practitioners that you require cover for?

Yes No

Please describe details

Do you conduct any part of your practice in USA/Canada?

Yes No

"Unfortunatley we are not able to offer cover for USA/Canada under this policy"

Re-enter Email address

Your Contact Phone Number

Are you a small business eligible for the exemption from the requirement to pay NSW duty on certain types of insurance? Generally speaking, you are a small business if your aggregated turnover is less than $2million. For more information visit www.revenue.nsw.gov.au/taxes/insurance/exemptions.