Aids and Equipment Program guidelines and forms
Contact a prescribing therapist, usually an allied health or health professional, and arrange for an assessment to find out the most appropriate and cost effective aid or piece of equipment for you.
Fill out a Aids and Equipment General Application Form (see below) and submit it to your local Aids and Equipment issuing centre, along with a copy of the prescribing therapist’s assessment report.
Guidelines and forms
The Aids and Equipment Guidelines provide a framework for Victorian Aids and Equipment issuing centres and Department of Human Services staff for the operation of a range of aids and equipment programs.
Download the guidelines:
Aids and Equipment Program Guidelines (PDF 899.5 kb)
Aids and Equipment Program Guidelines (Word 1.0 mb)
The following forms are taken from the guidelines and are available to download:
Aids and Equipment General Application Form (PDF 78.5 kb)
Aids and Equipment General Application Form (Word 134.5 kb)
Request for Oxygen - Victorian Aids and Equipment Program (PDF 166.5 kb)
Request for Oxygen - Victorian Aids and Equipment Program (Word 144.5 kb)
Wheelchair Report and Prescription Form (PDF 50.1 kb)
Wheelchair Report and Prescription Form (Word 194.5 kb)
