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Get Au Va D0804 2021
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How to fill out the AU VA D0804 online
The AU VA D0804 form is essential for requesting domiciliary medical oxygen therapy and other respiratory aids. This guide will provide you with clear, step-by-step instructions on how to accurately complete the form online.
Follow the steps to successfully fill out the AU VA D0804 online.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
- Begin with the client delivery details section. Provide the client's surname, given names, address, postcode, phone number, mobile number, email address, date of birth, DVA file number, and card type (Gold or White). Ensure that all details are accurate.
- Indicate whether the client lives in a Commonwealth funded Residential Aged Care Facility (RACF) by selecting 'Yes' or 'No'. If 'Yes', remember that ongoing oxygen treatment will be managed by the RACF under the Aged Care Act 1997.
- Fill in the information for the assessing health provider. This includes the details of the Specialist Physician or Respiratory Clinic that is overseeing the medical treatment. Provide their name, address, provider number, and contact details where required.
- In the requested supply section, check the appropriate boxes for domiciliary medical oxygen therapy, long-term oxygen therapy, or any other specified medical conditions such as chronic obstructive pulmonary disease or asthma.
- Complete the oxygen prescription section, providing details about required oxygen flow settings for different conditions such as exertional hypoxia or nocturnal hypoxia.
- If applicable, fill out information regarding other respiratory aids and appliances that may be required, like nebulizers or spacers.
- Select a supplier from the list provided in the form. Choose Air Liquide Healthcare or BOC as your contracted supplier. Ensure their contact details are noted.
- Review all sections to ensure accuracy before submitting the form. Once completed, you can save changes, download, print, or share the form as necessary.
Complete your AU VA D0804 form online today for essential respiratory therapy services.
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Since oxygen is a drug, it must be prescribed on a drug chart (paper or electronic). Most drug charts have a section for oxygen prescribing. As with any drug, if oxygen can be stopped, then the prescription on the drug chart should be crossed off (or discontinued on electronic prescribing platforms).
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