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D0992 Order Form RAP Mobility and Functional Support Products 2025

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4.3 out of 5

52 votes

The document is an order form for requesting mobility and functional support products through the Rehabilitation Appliances Program (RAP) for veterans and their dependents. It includes instructions for clinical justification, privacy information, and details on how to avoid duplication of services with other government programs like NDIS. The form requires provider and client details, prescription information, and specifies the need for prior approval items. It also lists contracted suppliers and emphasizes that prescribers can choose their supplier.

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Versions	Form popularity	Fillable & printable
2022	4.3 Satisfied (52 Votes)
2016	4 Satisfied (47 Votes)

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