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D0992 Order Form RAP Mobility and Functional Support Products 2026
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- Click ‘Get Form’ to open the D0992 Order Form in the editor.
- Begin by filling out the 'Provider Details' section. Enter the provider's name, profession, contact information, and employer details accurately.
- In the 'Client Delivery Details' section, input the client's surname, given names, date of birth, and DVA file number. Ensure that you select the correct card type.
- If applicable, indicate whether the client lives in a Residential Aged Care Facility and if they have received aids from NDIS or other programs.
- Complete the 'Prescription Details' by referencing the RAP National Schedule of Equipment. Fill in the RAP Item No., Supplier’s Product Catalogue No., specifications, and quantity required.
- Finally, ensure to sign and date the form at the bottom to certify that all information is accurate and complete before submitting.
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