Get Au Dva D9166 2019

The AU DVA D9166 form is crucial for individuals seeking assistance with aids and appliances through the Department of Veterans’ Affairs. This guide will provide you with clear instructions on how to effectively complete this form online to ensure a smooth submission process.

Follow the steps to complete the AU DVA D9166 form online.

1. Press the ‘Get Form’ button to obtain the AU DVA D9166 form and open it in your preferred editor.
2. Begin with the provider details section. Fill in the name of the speech pathologist or doctor, their employer details, provider number, and phone number. If applicable, include the provider's stamp.
3. Next, proceed to the entitled person and delivery details section. Enter the surname, given names, and relevant contact information for the entitled person, along with the customer account number and DVA file number.
4. Indicate the card type by selecting either Gold or White and provide the delivery address, including state and postcode, along with any specific delivery instructions.
5. Answer the questions regarding the entitled person’s residency status in a Residential Aged Care Facility, and if they require a specific ACFI classification.
6. Clarify if this order is additional to an initial order or if it results from a new assessment, selecting one of the options as necessary.
7. In the recommendations section, specify the item and level of thickness needed for the aids, daily usage, and the quantity required per month. Ensure the supply does not exceed a three-month period.
8. Delete or adjust the follow-up plan as needed, ensuring any review dates are included.
9. Once all sections are filled out, review the information for accuracy. You can then save your changes, download the completed form, print it, or share it with the required provider.

Begin filling out your AU DVA D9166 form online today to ensure you receive the assistance you need.