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Multiple Stomas Order Form 2026
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- Click ‘Get Form’ to open the Multiple Stomas Order Form in the editor.
- Begin by entering your membership number at the top of the form. This is essential for processing your order.
- Fill in the details for each stoma you have, including the first, second, and third stoma fields. Be precise to ensure accurate supply.
- Select your preferred delivery method by ticking either 'Pick Up' or 'Deliver'. If choosing delivery, provide your name, Medicare card number, and delivery address.
- In the appliance/item description section, list each item you wish to order along with its brand and code number. Specify the quantity needed.
- Review the payment section carefully. Include any donations if applicable and ensure that your total payment is calculated correctly.
- Finally, sign and date the form where indicated before submitting it via email, fax, or post as per the guidelines provided.
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