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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

      • I have purchased twice from this store, and both times I have received exceptional service from the staff, and quality products to match. Thanks for looking after those that matter... read more

        A S Avatar A S
        May 15, 2023

        Well educated beautiful staff 💕

        Kayla Dooley Avatar Kayla Dooley
        March 1, 2023

        Got my daughter new forearm crutches which I couldn't find anywhere else. The team were so lovely. They fitted them and explained what height was right for her and why.... read more

        Clare Fernandez Avatar Clare Fernandez
        October 5, 2025

        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
        May 15, 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

        Good customer service & good range of products

        Kerryn Robinson Avatar Kerryn Robinson
        May 15, 2024

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

        Dawn Sadler Avatar Dawn Sadler
        May 15, 2023

        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
      • Fabulous staff and stock.

        Sue Gilbert Avatar Sue Gilbert
        May 15, 2019

        Lovely staff, very helpful. Thank you.

        Taylor Avatar Taylor
        May 15, 2022

        Great service.Helpful staff.

        Rob Raven Avatar Rob Raven
        May 15, 2019

        Lovely staff, very helpful. Thank you.

        Taylor Avatar Taylor
        May 10, 2022
      Coastcare Medical
      4.1
      Based on 30 reviews
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