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How to Order DVA Equipment

Ordering through DVA requires official forms submitted by a registered prescriber. To support this, we provide: Downloadable Forms & Resources

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DVA RAP FORM

Printable PDF
For manual completion and scanning
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DVA RAP FORM

Fillable PDF
Complete electronically using Adobe Reader
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PRESCRIBER LIST

Item Codes
Ensure accurate item selection and DVA compliance

Submit Your Completed DVA Form

Upload your form using the secure form below.
Accepted file types: PDF, JPG, PNG.

Submission Options:

📠 Fax: (03) 5975 8304

📧 Email: admin@coastcaremed.com.au

📥 Secure Upload Form Below

DVA Logo

    Supported file types: PDF, JPG, JPEG, GIF, PNG

    Request an Equipment Trial

    Not sure which product is right for your client? Coastcare Medical offers free product trials to help prescribers assess suitability before submitting a DVA order.

    Request a trial using our online form, or email/fax a completed request.

    Submit the form below for your Equipment Trial Requests.

      What’s Included in a DVA Trial?

       

      Our team can help trial any of the items listed below before DVA submission.

      • Asset 45Mobility Aids
      • Asset 46Transfer Aids
      • Asset 47Bathroom Aids
      • Asset 48Powered Transport
      • Asset 49Recliners
      • Asset 50Bedrooms Aids
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      Delivery & Installation

      All DVA-approved equipment can be delivered, installed, and serviced by our experienced team.

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      Local Support – Nationwide Reach

      Visit our showrooms in Carrum Downs, Berwick, Mornington, and Croydon South — or request remote coordination.

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      Need Help?

      Contact our team for form assistance or product selection advice.

      Latest Reviews

      • Really terrific company to do business with. Completes all requests within a timely manner and nothing is too much hassle. We use Coastcare in Mornington to assist our clients and they... read more

        Rochelle Wilkie Avatar Rochelle Wilkie
        May 15, 2020

        Really terrific company to do business with. Completes all requests within a timely manner and nothing is too much hassle. We use Coastcare in Mornington to assist our clients and they... read more

        Rochelle Wilkie Avatar Rochelle Wilkie
        August 7, 2019

        Thank you to all your staff for all their help and care over the last couple of weeks Marlene P

        Anne Priestley Avatar Anne Priestley
        May 15, 2023

        My wife arrived back from the Hospital at 4;40pm without an overnight catheter bag. I rang several places with no success. I rang Coastal Care Mornington, at 3:55, Renee found... read more

        Steve Funke Avatar Steve Funke
        July 24, 2023
      • I had the pleasure of speaking to Renee from the Mornington office. I was so confused about what my elderly neighbour needed and she was so helpful and explained everything.

        terrina norton Avatar terrina norton
        May 15, 2023

        In a very bad spot only a couple of parks can close early without notice generally have to wait when there are other customers as only 1 or 2 people... read more

        Claire R Avatar Claire R
        May 15, 2019

        I could not have had better service, help & a very willing solution to my problem

        Dawn Sadler Avatar Dawn Sadler
        May 15, 2023

        Coastcare were fantastic when my Mum was pallative care all equipment was supplied free of charge and as a personal care worker i'v seen equipment in a few houses coastcare... read more

        joanne cooper Avatar joanne cooper
        May 15, 2017
      • I had to buy some incontinence products for a family member who just got back from hospital. Staff asked if I needed help upon entering the store and were quite... read more

        Ryan Grache Avatar Ryan Grache
        June 15, 2024

        From our original purchase Kara has been very helpful and pleasant to deal with. My father's walker had a minor recurring fault which she happily first had repaired and then... read more

        Robyn Tredinnick Avatar Robyn Tredinnick
        May 15, 2018

        Lovely staff, very helpful. Thank you.

        Taylor Avatar Taylor
        May 15, 2022

        Good quality and variety of health care equipment at very affordable rental prices.

        Nelson Herrok Avatar Nelson Herrok
        May 15, 2021
      Coastcare Medical
      4.1
      Based on 30 reviews
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