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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

      • So I came into coast care medical equipment in Mornington and the sales lady Really friendly, helpful and gave an experience so I could get the right product I needed... read more

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        Heidi Alyari Avatar Heidi Alyari
        December 4, 2024

        Good customer service & good range of products

        Kerryn Robinson Avatar Kerryn Robinson
        October 15, 2023

        Fabulous staff and stock.

        Sue Gilbert Avatar Sue Gilbert
        May 15, 2019

        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
      • 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

        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

        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

        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
        May 16, 2024
      • 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
        April 28, 2023

        Lovely staff, very helpful. Thank you.

        Taylor Avatar Taylor
        May 10, 2022

        Lovely staff, very helpful. Thank you.

        Taylor Avatar Taylor
        May 15, 2022
      Coastcare Medical
      4.1
      Based on 30 reviews
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