Assistive Technology Specification Forms

This is a list of the available specification forms, which may be needed if measurements or adjustments to the item need to be detailed.

Equipment

Bidet Specification and Agreement Form (MS Word Document 375.0 KB)
Ceiling Hoist Specification and Agreement Form (MS Word Document 145.9 KB)
Customised chair form 2023 01 24 (MS Word Document 89.1 KB)
General Seating Initial Specification Form (MS Word Document 1.7 MB)
Generic Specification Form (MS Word Document 116.5 KB)
Mobile Shower Chair Seat Modifications Specification Form (MS Word Document 314.0 KB)
Scooter Specification Form (MS Word Document 98.1 KB)
Wheelchair Initial Specification Form (MS Word Document 1.7 MB)

Home Modification Specification Form Internal Access Doorway Widening (MS Word Document 121.0 KB)
Minor Access Home Modification Specification Form (MS Word Document 163.0 KB)
Home Modification Specification Form Long Ramp (MS Word Document 149.5 KB)
Minor Home Modification Blank Specification Form (MS Word Document 90.0 KB)
Home Modification Specification Form Kitchen (MS Word Document 124.5 KB)
Home Modification Specification Form Major Step (MS Word Document 118.0 KB)
Home Modification Specification Form Bathroom / Toilet (MS Word Document 144.0 KB)
Shower Platform Specification Form (MS Word Document 94.0 KB)

Last updated:03 Feb 2021 6:57am

Last updated:15 Dec 2020 11:19am

Provided by:

Department of Human Services

URL:

https://equipmentprogram.sa.gov.au/lists/assistive-technology-specification-forms

Last Updated:

27 Mar 2018

Printed on:

07 Jun 2023