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Submitting a request for Equipment or Home Modification

Along with the above request form, all Category 2 items must also be submitted with:

An additional specification form may be needed if measurements or adjustments to the item need to be detailed.

Please ensure that individuals and their carers read the following document prior to planning or starting major home modifications:

Major Home Modifications Client Information Sheet (DOC 176.5 KB)

Once an equipment item has been approved by the Equipment Program delegate, an Equipment selection agreement form (DOCX 61.0 KB) must be completed by the client and referring therapist.

Please see further information in the Ordering Section, to complete your request.

State Government of South Australia © Copyright DHS .

Last updated:15 Dec 2020 11:19am
Provided by:
Department of Human Services
URL:
https://equipmentprogram.sa.gov.au/equipment-program/DACCM/submitting-a-request-for-equipment-or-home-modification
Last Updated:
27 Mar 2018
Printed on:
05 Mar 2021
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