Submitting an equipment request

Assessment

An Occupational Therapist or Physiotherapist with appropriate clinical skills and experience in the prescription of customised wheelchairs or mobile shower chairs can complete assessments and submit documentation directly to the Equipment Program.

A number of information documents have been developed to support allied health professionals to assess equipment to suit individual needs.

These can be found at Equipment Program - Prescribing Equipment - by Equipment Type.

Submitting a request for Equipment

All Category 2 requests must be submitted with:

• Equipment Request Form (DOCX 149.3 KB)
• Delegate Approval Request Form (DOCX 172.7 KB)
• Risk Rating and Priority Scoring Form (DOCX 126.3 KB)
• All required documents outlined in the EP Equipment In-scope List (XLSX 139.8 KB)

Prescribers can use the following checklist to assist with their submission to the Equipment Program:

• Checklist For Prescribers Submitting Equipment Requests (DOCX 165.7 KB)

Delegate Approval

The equipment request will be reviewed by an Equipment Program Clinical Delegate. The approved prescriber will receive correspondence from the Equipment Program regarding the outcome of the delegate review process.

Once an equipment item has been approved by the Equipment Program delegate, an Equipment Selection Agreement form   (DOCX 92.6 KB) will be provided for completion by the client and referring therapist.