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Equipment Program
Document lists
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DHS Equipment Program Documents
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Forms - Assessment
Allied Health, Safety and Rehabilitation Aids
DHS EP ACC Client Registration Form (MS Word Document 98.2 KB)- Advanced Palliative Equipment Response Assessment Request Form (MS Word Document 124.4 KB)
Bathing Toileting and Continence Aids
- Mobile Shower Commode Chair Assessment Form (MS Word Document 532.3 KB)
Beds and Bed Accessories
- Bed, Mattress and Bed Equipment Assessment Form (MS Word Document 306.0 KB)
Car Devices
- Car Hoist and Wheelchair Carrier Assessment (MS Word Document 95.6 KB)
Person Transfer Aids
- Hoist Assessment Form (MS Word Document 203.0 KB)
- Sling Assessment Form (MS Word Document 189.0 KB)
Pressure Management and Seating
- Wheelchair Initial Assessment Form (MS Word Document 294.5 KB)
Seated Mobility Aids and Accessories
- Medical Information Form (MS Word Document 197.0 KB)
- Powered Mobility Formal Tests (MS Word Document 105.0 KB)
- Powered Mobility Practical Assessment Form (MS Word Document 122.0 KB)
- Scooter Assessment Form (MS Word Document 54.9 KB)
- Wheelchair Initial Assessment Form (MS Word Document 294.5 KB)
Specialised Chairs and Accessories
- Electric Recliner Lift Chair Assessment form (MS Word Document 597.0 KB)
- Pressure Reduction/Comfort Chair Assessment Form (MS Word Document 413.3 KB)
Last updated:01 Nov 2023 9:03pm
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The Equipment Program website is licensed
under a Creative Commons Attribution 3.0 Australia
Licence. © Copyright 2016