Get Au D0992 2022-2026

The AU D0992 form is essential for individuals requesting mobility and functional support products through the Rehabilitation Appliances Program (RAP). This guide provides clear, step-by-step instructions to help users effectively complete the form online.

Follow the steps to successfully fill out the AU D0992 form online.

1. Click ‘Get Form’ button to obtain the form and access it in the editor.
2. Begin by filling in the provider details section. Include the name and profession of the provider, their registration number, and contact information including their phone number and email address.
3. Next, provide the client delivery details. Fill in the client’s surname, given name(s), date of birth, DVA file number, and specify the card type. Be sure to indicate if the client lives in a residential aged care facility.
4. Indicate whether the client has received aids, equipment, or modifications from the NDIS, Home Care Package, or CHSP, and list what has been received.
5. If applicable, complete the hospital discharge details, including whether the item is required for discharge and the date of discharge.
6. In the prescription details section, the provider must refer to the RAP National Schedule of Equipment for the item number, specifications, and quantity required. Ensure to attach any necessary documentation for prior approval items.
7. Provide a detailed certification of clinical assessment, including specific clinical conditions and how the prescribed items address the functional issues. Attach additional justification if required.
8. Finally, review the form for accuracy, then save changes, download, print, or share the completed form as needed.

Take the first step and complete your AU D0992 form online today.