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D0804 Domiciliary Medical Oxygen Therapy and or Other Respiratory Aids and Appliances D0804 Domicili

D0804 Domiciliary Medical Oxygen Therapy and or Other Respiratory Aids and Appliances D0804 Domicili 2025

D0804 Domiciliary Medical Oxygen Therapy and or Other Respiratory Aids and Appliances D0804 Domicili Preview on Page 1

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4.6 out of 5

39 votes

The document outlines the procedures and requirements for obtaining Domiciliary Medical Oxygen Therapy and other respiratory aids through the Department of Veterans' Affairs (DVA) in Australia. It includes information on privacy protection, eligibility for services, prescription validity, and the roles of health providers in managing client care. Additionally, it provides contact details for contracted suppliers and emphasizes the importance of regular reviews of client prescriptions.

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Click ‘Get Form’ to open the D0804 form in the editor.
Begin by filling in your personal details in the 'Client Delivery Details' section, including surname, given names, address, postcode, phone number, mobile number, email address, date of birth, and DVA file number.
Indicate whether this is an urgent request for domiciliary medical oxygen therapy by selecting 'Yes' or 'No'. If 'Yes', follow up with one of the suppliers listed at the end of the form.
Complete the 'Specialist Physician/Respiratory Clinic Details' section if applicable. Include the prescriber’s stamp if available.
In the 'Requested Supply System' section, select your required therapy type and specify any medical conditions that apply.
Review all entries for accuracy before forwarding the completed form to one of the contracted suppliers listed on the last page.

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Versions	Form popularity	Fillable & printable
2022	4.5 Satisfied (21 Votes)
2021	4.6 Satisfied (39 Votes)
2012	4 Satisfied (28 Votes)

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What is the meaning of domiciliary oxygen?

Domiciliary oxygen is prescribed to alleviate symptoms of severe respiratory disability or to reduce complications of chronic hypoxia such as secondary polycythaemia and pulmonary hypertension.

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