Follow the steps to complete the registration form online.

1. Click ‘Get Form’ button to access the registration form and open it in your preferred document editor.
2. Begin with Section 1, where you will provide details about the applicant. Fill in your Synergy account number and meter number, along with your given names, surname, supply address, and date of birth. You will also need to provide your postal address (if different), contact phone number, mobile number, and email address (if applicable).
3. Move to Section 2. Indicate whether the applicant is also the patient by selecting 'Yes' or 'No'. If 'No', you must provide the patient's details, including first name, surname, date of birth, relationship to the applicant, address where the equipment will be used, and the contact phone number.
4. In Section 3, read through the declaration and consent statements carefully. This section requires the applicant to acknowledge their responsibilities and ensure that all provided information is accurate. After reading, sign and date the form.
5. Proceed to Section 4 for medical authorization. This must be filled out by a qualified medical practitioner. They will need to include their details, the type of life support equipment prescribed, and a signature with the date.
6. Review the completed form to make sure all sections are filled out accurately. Scan the signed form along with any necessary attachments.
7. You can now save your changes, download, print, or share the completed registration form as needed. Remember to return it according to the instructions provided.

Complete your AU Synergy Life Support Equipment Registration online for a smoother and more efficient process.