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RAP Mobility & Functional Support Products 2026

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  1. Click ‘Get Form’ to open the RAP Mobility & Functional Support Products form in the editor.
  2. Begin by filling out the Provider Details section. Enter your profession, name, provider number, employer, and contact information including phone and email.
  3. Next, complete the Entitled Person/Delivery Details. Input the surname, given names, date of birth, DVA file number, gender, and card type. Indicate if the entitled person lives in a Residential Care Facility and whether they receive help under the EACH package.
  4. If applicable, fill out the Hospital Discharge Details section with relevant information regarding discharge items and dates.
  5. In the Order Details section, refer to the RAP Schedule of Equipment for product specifications. Fill in the RAP Schedule No., product details including catalogue number, size, type, quantity, and any necessary specifications.
  6. Finally, certify that you have clinically assessed the client by signing and dating the form before submission.

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