Unique Solutions Application Form March 2017 - TAD-2026

1. Click ‘Get Form’ to open the Unique Solutions Application Form in our editor.
2. Begin by filling out the CLIENT section. Enter your title, first name, surname, address, phone number, mobile number, date of birth (DOB), and email. Ensure all details are accurate for effective communication.
3. Proceed to the CONTACT PERSON section. Provide the necessary information including their title, organization, first name, surname, address, phone number, relationship to you, mobile number, and email.
4. In the REFERRER section, fill in details about the referring individual or organization. Include their title, organization name, first name, surname, address, phone number, job title or role, mobile number and email.
5. Complete the PAYER DETAILS section by indicating if you are self-funded or using NDIS. If applicable, enter your NDIS reference number and specify your primary language spoken at home.
6. Answer questions regarding your health conditions and allergies in the Tell us about you/your child’s health section. Provide height and weight measurements as required.
7. Select which Adaptable Solution you need from the options provided. Attach any necessary dimension sheets for custom measurements.
8. Indicate where this device will be primarily used (Home/School/Other) and how you heard about TAD.
9. Review all entered information for accuracy before signing at the bottom of the form. Ensure you understand TAD's privacy policy before submitting.

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