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D695 Allied Health Time Based Voucher. Allied Health Time Based Voucher - dva gov

D695 Allied Health Time Based Voucher. Allied Health Time Based Voucher - dva gov 2026

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The document outlines the procedures for using the Allied Health Time Based Voucher, detailing the necessary steps for completing patient information, service details, and signatures required for claim processing. It emphasizes the importance of accurate documentation and submission to ensure payment through Medicare Australia.

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Click ‘Get Form’ to open the D695 Allied Health Time Based Voucher in the editor.
Begin by completing the Patient Details section. Enter the patient’s file number, first name, initial, and surname. If the file number is unknown, provide the date of birth and address.
Fill out all relevant sections of the form. Ensure that you complete the ‘Condition Treated’ section if applicable, especially for veterans holding a Repatriation Health Card for Specific Conditions (WHITE CARD).
Make sure the patient signs against each service rendered on the form.
Submit the Departmental copy along with your claim and attach any necessary documents.
Ensure that the patient receives their copy of the voucher.
Retain the Claimant copy for your records.

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