Department of Veterans’ Affairs (DVA) Equipment OrderingFOR PRESCRIBERS & PRACTITIONERS ONLY
As an approved DVA provider, Coastcare Medical makes ordering equipment simple and efficient. Practitioners can download, complete, and submit official DVA forms, product catalogues, and prescriber lists using the resources below.
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🗂 DOWNLOAD DVA FORMS
- 📄 DVA RAP Form – Printable PDF
For manual completion and scanning
[Download PDF] - 🖊 DVA RAP Form – Fillable PDF
Complete electronically using Adobe Reader
[Download Fillable PDF] - 📘 DVA Products Catalogue
View the current range of DVA-approved equipment
[Download Catalogue] - 🧾 Prescriber Lists & Codes
Official prescriber codes for DVA item requests
[Download Codes]
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📤 SUBMIT YOUR COMPLETED FORM
Use the secure upload form below to send scanned or filled forms (PDF, JPG, PNG). You can also submit forms via fax or email.
Upload Form:
- Your Name (required)
- Your Email (required)
- Phone Number (required)
- Company / Provider Name
- Message
- Upload File (.pdf, .jpg, .jpeg, .png, .gif)
[Submit Form]
Other submission options:
📠 Fax: 03 5975 8304
📧 Email: admin@coastcaremed.com.au
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🆕 NEW DVA-APPROVED ITEMS
Want to promote your product to prescribers? Contact us to feature your next item or run a training session (online or in-showroom).
[Enquire About Product Training]
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📝 EQUIPMENT TRIAL REQUEST FORM
Practitioners may request product trials for clients using the form below. This helps ensure the right fit before ordering through DVA.
Trial Request Form:
Client Details
- Client Name (required)
- Address (required)
- Email (required)
- Parent or Carer Name (required)
- Phone Number (required)
Therapist Details
- Therapist Name (required)
- Organisation (required)
- Phone Number (required)
- Email (required)
Trial Information
- Equipment to Trial (required)
- Preferred Appointment Venue
- Requested Date & Time
Medical Details
- Condition of Disability (required)
- Clinical Requirements (required)
- Age / DOB / Height / Weight
Funding Information
- Provider (SWEPTAC / NDIS / Other)
- Other Provider Name
- Claim Number
- Additional Notes
[Submit Trial Request]
Or email forms to: carrumdowns@coastcaremed.com.au
Fax: 03 5975 8304
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ABOUT COASTCARE MEDICAL
We’re a family-owned provider of high-quality, DVA-approved rehabilitation equipment and support. With showrooms in Carrum Downs, Berwick, Mornington and Croydon South, we service clients across Australia with fast delivery, professional installation, and ongoing support.
Our DVA range includes:
- Mobility scooters & walkers
- Hospital beds & pressure care
- Hoists, recliners & patient handling
- Daily living & independence aids
- Oxygen concentrators and more
Need help? Our knowledgeable team is here to assist with product selection, ordering, and DVA compliance.
[Contact Us] [Find a Showroom]