Get D1328 Dva

The D1328 Dva form is essential for requesting prior financial approval for medical and allied health services for eligible veterans. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully complete the D1328 Dva form online.

1. Press the ‘Get Form’ button to obtain the D1328 Dva form and open it in your preferred document editor.
2. Begin with the ‘Entitled Person Details’ section. Enter the DVA file number, surname, given names, date of birth, and card type (Gold or White). Ensure all information is accurate.
3. Indicate whether the entitled person lives in a Residential Care Facility by selecting 'Yes' or 'No'. If applicable, select the level of care required (High or Low).
4. Provide details about the treatment for which you are seeking prior financial authorization. Make sure to include clinical justification and attach additional pages if necessary.
5. If applicable, fill in the service/item number details, referring to the Repatriation Medical Fees Schedule or DVA Allied Health Schedule of Fees for guidance.
6. Complete the 'Provider Details' section with the provider's name, provider number, type, address, telephone number, fax number, mobile number, and e-mail address.
7. Input any relevant item numbers related to the service and the date of service. Specify the fee if it differs from the RMFS fee.
8. Ensure that all provided information is clearly written, complete, and correct as incorrect or missing details may delay processing.
9. Sign and date the form in the designated signature section.
10. Finally, review the form thoroughly. You can save any changes, download the completed form, print it, or share it as needed.

Complete the D1328 Dva form online to ensure timely approval for necessary services.