Get Stock Equipment Request Form

This guide provides clear instructions for completing the Stock Equipment Request Form online, ensuring that users can effectively request necessary equipment. By following these steps, you can easily navigate each section of the form to facilitate your equipment needs.

Follow the steps to fill out the Stock Equipment Request Form online effectively.

1. Click ‘Get Form’ button to access the Stock Equipment Request Form and open it in your preferred online editor.
2. Begin the form by indicating whether this is a new request or an amended request by selecting the appropriate option.
3. Enter your NDIS number if applicable, followed by filling in your personal information, including title, last name, first name, date of birth, address, suburb, postcode, and phone numbers.
4. Provide details about an alternative contact person, including their relationship to you and their contact information.
5. Fill in the primary diagnosis and any other relevant medical or health information, including client weight in kilograms.
6. List the stock items you are requesting, including part number and equipment name, while ensuring the person’s weight is within the equipment's safe working load.
7. Indicate whether you need to pick up an old item and if this request is to replace an existing piece of equipment.
8. Answer if foam surround is required by selecting the appropriate option.
9. State the goal of equipment provision and whether it aims to improve safety and independence for yourself or a carer.
10. Assess and describe the person’s current functional status, including indoor and outdoor ambulant mobility, seated mobility, and ability for transfers.
11. Complete the pressure management section by indicating if a pressure risk assessment tool was used and providing details of any pressure injuries.
12. Provide any additional relevant information regarding the person's current situation or functional status.
13. Fill out the equipment justification sections as required, detailing how the requested equipment meets clinical needs.
14. For powered wheelchairs and scooters, ensure to fill in the necessary specifications and confirm any accompanying documents like a medical questionnaire.
15. Complete the compatibility section, confirming the recommended equipment's compatibility with current devices and the environment of use.
16. Fill in delivery information, including address and any special instructions, ensuring to confirm discharge dates where applicable.
17. Complete the prescriber declaration by ticking all applicable boxes, entering your details, and ensuring accurate information.
18. Once all sections are accurately filled, save your changes and attach the completed form to the online ordering system.

Complete your Stock Equipment Request Form online today to ensure timely processing of your equipment needs.