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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

      • Lovely staff, very helpful. Thank you.

        Taylor Avatar Taylor
        May 10, 2022

        My wife needed a Rollator quickly after her old one broke. A friend recommended Coastcare at South Croydon. Nick listened to my wife's needs carefully and clearly explained how several... read more

        Barry Dingle Avatar Barry Dingle
        July 24, 2025

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

        Dawn Sadler Avatar Dawn Sadler
        May 15, 2023

        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
      • 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

        Great service.Helpful staff.

        Rob Raven Avatar Rob Raven
        May 15, 2019

        My wife needed a Rollator quickly after her old one broke. A friend recommended Coastcare at South Croydon. Nick listened to my wife's needs carefully and clearly explained how several... read more

        Barry Dingle Avatar Barry Dingle
        July 24, 2025

        Staff were very helpful and accommodating. Open to the dozens of questions and willing to unpack products to allow us to look at anything that was not on display.

        Anja Avatar Anja
        October 2, 2019
      • 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

        The staff helped me with choosing the right crutches and how to walk with them. Easy to hire and return. I will go back if needed.

        Dee F Avatar Dee F
        May 15, 2022

        Tha Staff are all very friendly Good service and product knowledge.they gave me very good advice on my product 👍🏿

        Simon Muiru Avatar Simon Muiru
        April 28, 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
      Coastcare Medical
      4.1
      Based on 30 reviews
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