Get Direct Order Form Continence Products

Filling out the Direct Order Form for Continence Products online is a straightforward process designed to assist users in ordering necessary items with ease. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete your form online.

1. Press the ‘Get Form’ button to access the Direct Order Form Continence Products and open it in your preferred editor.
2. Begin by filling in the prescriber details. Include the name and role of the prescriber, their employer, date, provider number, phone number, and email address. If applicable, attach the prescriber stamp. Ensure all information is accurate for processing.
3. In the entitled person/delivery details section, input the surname, given name(s), gender, and phone number of the individual receiving the products. Provide the delivery address, including state and postcode, and any specific delivery instructions, such as caution regarding pets.
4. Make sure to enter the DVA file number and select the card type: Gold or White. If the person lives in a Residential Care Facility or receives help under the EACH package, please indicate accordingly.
5. If applicable, specify whether this order is additional to an initial order or as a result of a new assessment by selecting the relevant options provided.
6. Complete the order section by referring to the ‘Description of Items’ and list the supplier item number, DVA item number, a brief description of the continence products, and the quantity needed. Double-check the limits for each item to ensure compliance.
7. After filling out all necessary sections, review the entire form for accuracy. Make any corrections if needed.
8. Once satisfied, save the changes, and choose your preferred output option: download, print, or share the completed form as needed.

Start filling out your Direct Order Form for Continence Products online today to ensure timely access to necessary items.