D0992 Order Form RAP Mobility and Functional Support Products 2026

1. Click ‘Get Form’ to open the D0992 Order Form in the editor.
2. Begin by filling out the 'Provider Details' section. Enter the provider's name, profession, contact information, and employer details accurately.
3. 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.
4. If applicable, indicate whether the client lives in a Residential Aged Care Facility and if they have received aids from NDIS or other programs.
5. 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.
6. 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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