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

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.
Mobility Aids
Transfer Aids
Bathroom Aids
Powered Transport
Recliners
Bedrooms Aids

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

Local Support – Nationwide Reach
Visit our showrooms in Carrum Downs, Berwick, Mornington, and Croydon South — or request remote coordination.

Need Help?
Contact our team for form assistance or product selection advice.
















