|
D0529B
|
D0529B About claiming income support supplement
|
myservice
|
General
|
|
D0503-4B
|
D0503-4B About claiming service pension
|
myservice
|
General
|
|
D9394
|
D9394 Access to information and documents held by DVA relating to a deceased person
|
na
|
General, DVA Staff
|
|
D1320
|
D1320 Acknowledge of Receipt of the MVCS Vehicle
|
na
|
General
|
|
D1319
|
D1319 Acknowledgement of Receipt of MVCS Vehicle Modifications
|
na
|
General
|
|
D9353
|
D9353 Activities of daily living assessment
|
na
|
For providers, Occupational therapist (general)
|
|
D9076
|
D9076 Acute Care Certificate
|
na
|
For providers, Hospitals & day procedure centres
|
|
D2582A
|
D2582A Additional Information Sheet
|
na
|
General
|
|
D9418
|
D9418 ADLs/Functional Impact - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9500
|
D9500 Aggravation(s) - (DRCA/MRCA/VEA)
|
na
|
Compensation, For providers
|
|
D1358
|
D1358 Alcohol Questionnaire - Claimant
|
na
|
General
|
|
D1215
|
D1215 Alcohol Questionnaire - Dependant
|
na
|
General
|
|
D0695
|
D0695 Allied health time based voucher
|
dva_webclaim
|
For providers, Chiropractor, Diabetes educator, Dietitian, Exercise physiologist, Medical specialist, Neuropsychologist, Occupational therapist (general), Occupational therapist (mental health), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (general), Social worker (mental health), Speech pathologist
|
|
D9457
|
D9457 Aneurysms and Intra-vascular Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9474
|
D9474 Ankle Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9432
|
D9432 Ankle Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D1352
|
D1352 Annual review of circumstances
|
na
|
General
|
|
D9159
|
D9159 Application and Guidelines for a Military Memorial of National Significance
|
na
|
General
|
|
D7607
|
D7607 Application for a Certificate of Entitlement for a Defence Service Homes Subsidised Loan or for a Home Support Loan
|
na
|
General
|
|
D9167
|
D9167 Application for a Photograph of a Grave or Memorial
|
na
|
General
|
|
D9212
|
D9212 Application for Additional Tuition (MRCAETS) and VCES
|
na
|
General
|
|
D9363
|
D9363 Application for approval to use the word ‘Anzac’
|
na
|
General
|
|
D2566
|
D2566 Application for Assistance Students aged 16 to 24 years
|
myservice
|
General
|
|
D2697
|
D2697 Application for Assistance Students under the age of 16 years
|
myservice
|
General
|
|
D2667
|
D2667 Application for Attendant Allowance
|
na
|
General
|
|
D0755
|
D0755 Application for Certificate of Appreciation
|
na
|
General
|
|
D7609
|
D7609 Application for Certificate of Assignment for a Defence Service Homes Subsidised Loan
|
na
|
General
|
|
D0418
|
D0418 Application for Clothing Allowance
|
na
|
General
|
|
D1004
|
D1004 Application for Community Nursing Exceptional Case Status
|
na
|
For providers, Community nursing, Registered Nurse
|
|
D0568
|
D0568 Application for Crisis Payment - Extreme Circumstances and Domestic or Family Violence
|
na
|
General
|
|
D0567
|
D0567 Application for Crisis Payment - Prison/Hospital release
|
na
|
General
|
|
D9146
|
D9146 Application for funding overseas privately-constructed memorial restoration program
|
na
|
General
|
|
D2668
|
D2668 Application for grant of Victoria Cross Allowance
|
na
|
General
|
|
D9215
|
D9215 Application for Health Care for Cancer (Malignant Neoplasm) or Tuberculosis
|
na
|
General
|
|
D9213
|
D9213 Application for Health Care for Mental Health Condition(s)
|
myservice
|
General
|
|
D9208
|
D9208 Application for Licence to Reproduce Department of Veterans' Affairs Card Images
|
na
|
For providers, Pharmacist
|
|
D3006
|
D3006 Application for Loss of Earnings Allowance
|
na
|
General
|
|
D0556
|
D0556 Application for Lump Sum Advance Payment
|
myservice
|
General
|
|
D2580
|
D2580 Application for Motorcycle GST Rebate
|
na
|
General
|
|
D0559
|
D0559 Application for payment of a Pension Bonus
|
na
|
General
|
|
D9127
|
D9127 Application for Payment of a Pension Bonus Bereavement Payment
|
na
|
General
|
|
D9338
|
D9338 Application for Provisional Access to Medical Treatment (PAMT) Reimbursement
|
na
|
General
|
|
D0302
|
D0302 Application for Recreation Transport Allowance
|
na
|
General
|
|
D0305
|
D0305 Application for Review - Information for Applicants
|
na
|
General
|
|
D0605
|
D0605 Application for special concession primary producer — private trusts
|
na
|
General
|
|
D9387
|
D9387 Application for the Australian Defence Force Firefighter Scheme
|
na
|
General
|
|
D3056
|
D3056 Application for the Commonwealth Seniors Health Card (CSHC)
|
myservice
|
General
|
|
D9021
|
D9021 Application for Tier Classification by an F-111 deseal/reseal program participant or F-111 fuel tank entry maintenance worker
|
na
|
General
|
|
D9022
|
D9022 Application for Tier Classification by the Estate of an F-111 deseal/reseal program participant or F-111 fuel tank entry maintenance worker
|
na
|
General
|
|
D0803
|
D0803 Application for Travelling Expenses in connection with a Review
|
myservice
|
General
|
|
D0712
|
D0712 Application for Vacancy
|
na
|
DVA Staff
|
|
D3001
|
D3001 Application for Vehicle Assistance
|
na
|
General
|
|
D9333
|
D9333 Application for Veteran Payment
|
myservice
|
General
|
|
D1301
|
D1301 Application for VRB summons
|
na
|
General
|
|
D0700
|
D0700 Application for Waiver of Veterans’ Home Care Copayments
|
na
|
General
|
|
D7606
|
D7606 Application for Widow / Widower Advance, Repairs Advance, Instalment Relief
|
na
|
General
|
|
D9173
|
D9173 Application to list or modify price of a product on the RSPB
|
na
|
For providers, Pharmacist
|
|
D9203
|
D9203 Application to register for the F-111 SHOAMP Health Care Scheme Group 1
|
na
|
General
|
|
D9204
|
D9204 Application to register for the F-111 SHOAMP Health Care Scheme Group 2
|
na
|
General
|
|
D3057
|
D3057 Apply for a Gold Card
|
na
|
General
|
|
D9056
|
D9056 Apply for a Gold Card - Australian British Nuclear Test Participants and Australian British Commonwealth Occupation Force Participants
|
na
|
General
|
|
D9354
|
D9354 Apply for a Gold Card - SEATO medical team
|
na
|
General
|
|
D9325
|
D9325 Appointing a third party to represent a DVA client
|
myservice
|
General
|
|
D9540
|
D9540 At Risk Client Assessment Form for use by GPs
|
na
|
For providers
|
|
D1004A
|
D1004A Attachment 1 Exceptional Case – Dementia / Short Term Memory Loss / Confusion
|
na
|
For providers, Community nursing, General
|
|
D1004B
|
D1004B Attachment 2 Exceptional Case — Mental Health
|
na
|
For providers, Community nursing
|
|
D1004C
|
D1004C Attachment 3 Exceptional Case — Palliative Care
|
na
|
For providers, Community nursing
|
|
D1004D
|
D1004D Attachment 4 Exceptional Case — Wound Care
|
na
|
For providers, Community nursing
|
|
D1351
|
D1351 Attendant Care Services Claim Form
|
na
|
General
|
|
D9398
|
D9398 Audiology prior financial approval request
|
na
|
For providers, Audiologist, Audiometrist, Otolaryngologist
|
|
D1329
|
D1329 Authority to collect and disclose personal information
|
na
|
General
|
|
D9187
|
D9187 Bank account details for overseas residents - Canada
|
na
|
General
|
|
D9195
|
D9195 Bank account details for overseas residents - Croatia
|
na
|
General
|
|
D9189
|
D9189 Bank account details for overseas residents - Hong Kong
|
na
|
General
|
|
D9190
|
D9190 Bank account details for overseas residents - Israel
|
na
|
General
|
|
D9188
|
D9188 Bank account details for overseas residents - Italy
|
na
|
General
|
|
D9186
|
D9186 Bank account details for overseas residents - Local currency automated clearing house
|
na
|
General
|
|
D9196
|
D9196 Bank account details for overseas residents - Local currency wire payment
|
na
|
General
|
|
D9194
|
D9194 Bank account details for overseas residents - New Zealand
|
na
|
General
|
|
D9193
|
D9193 Bank account details for overseas residents - Singapore
|
na
|
General
|
|
D9191
|
D9191 Bank account details for overseas residents - Türkiye
|
na
|
General
|
|
D9192
|
D9192 Bank account details for overseas residents - USA
|
na
|
General
|
|
D9197
|
D9197 Bank account details for overseas residents - Wire payment via a USA bank
|
na
|
General
|
|
D2050
|
D2050 Bank Account Details Form
|
na
|
General
|
|
D9302
|
D9302 Basic Daily Fee to ex-POW and VC holders
|
na
|
General
|
|
D9429
|
D9429 Breast Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9453
|
D9453 Cardiac Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9492
|
D9492 Cardiorespiratory Effort Tolerance - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9452
|
D9452 Cardiorespiratory Effort Tolerance - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9480
|
D9480 Cervical Spine Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9441
|
D9441 Cervical Spine Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9294
|
D9294 Chiropractic/Osteopathy/Physiotherapy Prior Financial Approval Request
|
na
|
For providers, Chiropractor, Osteopath, Physiotherapist
|
|
D1317
|
D1317 Claim for $25,000 Ex-Gratia Payment by a Civilian interned by Japan during World War II
|
na
|
General
|
|
D9077
|
D9077 Claim for $25,000 Ex-Gratia Payment by a Surviving Spouse
|
na
|
General
|
|
D9078
|
D9078 Claim for $25,000 Ex-Gratia Payment by Prisoner of War in Europe
|
na
|
General
|
|
D0307
|
D0307 Claim for a funeral benefit
|
na
|
General
|
|
D2622
|
D2622 Claim for a Repatriation Pharmaceutical Benefits Card
|
na
|
General
|
|
D9401
|
D9401 Claim for assistance dog expenses
|
na
|
General, For providers
|
|
D9075
|
D9075 Claim for Australian Participants of the British Nuclear Tests Program Commemorative Medallion
|
na
|
General
|
|
D9145
|
D9145 Claim for Bereavement Payment for single veterans
|
na
|
General
|
|
D2053
|
D2053 Claim for Compensation for Dependants of Deceased Members and Former Members under MRCA
|
na
|
General
|
|
D9182
|
D9182 Claim for Compensation for Funeral Expenses and/or Entitlements Following Death for Dependants of Deceased Members and Former Members of the Australian Defence Force
|
na
|
General
|
|
D7526
|
D7526 Claim for Costs of Relevant Documentary Medical Evidence Incurred by Applicants to the Veterans’ Review Board (VRB)
|
na
|
General
|
|
D2582
|
D2582 Claim for Disability Compensation Payment and/or Application for Increase in Disability Compensation Payment
|
myservice
|
General
|
|
D0306
|
D0306 Claim for Fees: Part-Time Members
|
na
|
DVA Staff
|
|
D9319
|
D9319 Claim for Household Services
|
na
|
General
|
|
D1360
|
D1360 Claim for Incapacity for Service/Work
|
myservice
|
General
|
|
D0529
|
D0529 Claim for Income Support Supplement Part A - Eligibility
|
myservice
|
General
|
|
D2051
|
D2051 Claim for Liability and/or Reassessment of Compensation under MRCA
|
myservice
|
General
|
|
D2636
|
D2636 Claim for Pension by a War Widow who remarried prior to 1984
|
na
|
General
|
|
D2663
|
D2663 Claim for Pension by a Widow, Widower or other Dependant of a Deceased Veteran
|
na
|
General
|
|
D2020
|
D2020 Claim for Rehabilitation and Compensation
|
na
|
General
|
|
D0504
|
D0504 Claim for service pension by a partner, a former partner or widow or widower part A – eligibility
|
myservice
|
General
|
|
D0648
|
D0648 Claim for Service Pension or Income Support Supplement Part B – Income and Assets
|
myservice
|
General
|
|
D0503
|
D0503 Claim for service pension part A - eligibility
|
myservice
|
General
|
|
D0664
|
D0664 Claim for transfer of payment of Centrelink Age Pension to DVA
|
myservice
|
General
|
|
D0800
|
D0800 Claim for Travelling Expenses
|
myservice
|
General
|
|
D1217CN
|
D1217CN Claim for Treatment Services - Community Nursing
|
na
|
For providers, Community nursing
|
|
D1217
|
D1217 Claim for treatment services voucher
|
dva_webclaim
|
General, For providers, Chiropractor, Clinical psychologist, Dental prosthetist, Dental specialist, Dentist, Diabetes educator, Dietitian, Exercise physiologist, General Practitioner, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Occupational therapist (general), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (mental health), Speech pathologist
|
|
D1181
|
D1181 Claim out-of-pocket medical expenses
|
na
|
General
|
|
D2549
|
D2549 Claim Statement
|
na
|
General
|
|
D0507
|
D0507 Claim to Determine Qualifying Service by a Commonwealth or Allied Veteran
|
myservice
|
General
|
|
D0508
|
D0508 Claim to determine Qualifying Service by an Australian or Allied Mariner during the Second World War
|
myservice
|
General
|
|
D9389
|
D9389 Community Nursing Referral
|
na
|
For providers
|
|
D1083
|
D1083 Community Nursing Service Voucher
|
na
|
For providers, Community nursing
|
|
D0541
|
D0541 Compensation and Damages
|
na
|
General
|
|
D1353
|
D1353 Confirmation of attendant care services
|
na
|
General, Attendant care service provider
|
|
D6345
|
D6345 Coronary Care Patient Certificate
|
na
|
Registered Nurse, For providers, Hospitals & day procedure centres, Medical specialist
|
|
D9430
|
D9430 Cranial Nerves - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D0698
|
D0698 Crisis Relief Data Collection Sheet
|
na
|
DVA Staff
|
|
D9072
|
D9072 Curtilage Review Form
|
na
|
General
|
|
D0804
|
D0804 D0804 - Home Medical Oxygen Therapy and/or Respiratory Home Therapy Appliances form
|
na
|
For providers, General Practitioner, Hospitals & day procedure centres, Medical specialist, Physiotherapist, Registered Nurse
|
|
D0904
|
D0904 D0904 - DVA request/referral voucher
|
na
|
For providers, General Practitioner
|
|
D0988
|
D0988 D0988 – Continence direct order form
|
na
|
For providers, General Practitioner, Medical specialist, Occupational therapist (general), Occupational therapist (mental health), Physiotherapist, Registered Nurse
|
|
D0992
|
D0992 D0992 - Mobility Functional Support (MFS) products order form
|
na
|
For providers, General Practitioner, Hospitals & day procedure centres, Medical specialist, Occupational therapist (general), Physiotherapist, Rehabilitation service provider, Registered Nurse, Exercise physiologist, Podiatrist, Orthotist, Prosthetist
|
|
D1323
|
D1323 D1323 - Authority to Install/Modify - Home/Access Modifications
|
na
|
For providers, Occupational therapist (general)
|
|
D1325
|
D1325 D1325 - Electric Mobility Aids - Part 2 - Assessment
|
na
|
For providers, Occupational therapist (general)
|
|
D1327
|
D1327 D1327 – Complex Home/Access Modifications
|
na
|
For providers, Occupational therapist (general)
|
|
D1382
|
D1382 D1382 - Request for assistive communication device and/or speech pathology apps/software
|
na
|
For providers, Medical specialist, Speech pathologist
|
|
D9140
|
D9140 D9140 - Application for Positive Airways Pressure (PAP) Equipment
|
na
|
For providers, Hospitals & day procedure centres, Medical specialist
|
|
D9160
|
D9160 D9160 - Request for Trial of Equipment (Exercise Bike/Knee Scooter) - 3 Months Only
|
na
|
For providers, Chiropractor, Exercise physiologist, General Practitioner, Medical specialist, Osteopath, Physiotherapist
|
|
D9166
|
D9166 D9166 - Order form for Non-nutritional Thickened Fluid Products
|
na
|
General Practitioner, Speech pathologist
|
|
D9199
|
D9199 D9199 - Assessment form for the supply of a Personal Response System
|
na
|
For providers, General Practitioner, Medical specialist, Occupational therapist (general), Physiotherapist, Registered Nurse
|
|
D9257
|
D9257 D9257 - Order form for low vision products
|
na
|
For providers, Low Vision Clinic, Occupational therapist (general), Optometrist, Orthoptist and Optical dispenser, Medical specialist
|
|
D9299
|
D9299 D9299 - Post Home Modification Report
|
na
|
For providers, Occupational therapist (general)
|
|
D9300
|
D9300 D9300 - Electric Mobility Aids - Part 1 - Medical Assessment
|
na
|
For providers, General Practitioner
|
|
D9356
|
D9356 D9356 - Request for an assistance dog
|
na
|
For providers, Clinical psychologist, Medical specialist, Neuropsychologist, Occupational therapist (general), Occupational therapist (mental health), Psychologist, Social worker (mental health)
|
|
D9376
|
D9376 D9376 - Request for assistive listening devices and/or tinnitus devices
|
na
|
For providers, Audiologist, General Practitioner, Hospitals & day procedure centres, Rehabilitation service provider, General
|
|
D9379
|
D9379 D9379 - Electric Mobility Aids - Part 3 - Trial
|
na
|
For providers, Occupational therapist (general)
|
|
D9381
|
D9381 D9381 - Authority to Install/Modify - Vehicle Modifications
|
na
|
For providers, Occupational therapist (general)
|
|
D9414
|
D9414 D9414 - Order Form Diabetes Products
|
na
|
General Practitioner, Diabetes educator, Diabetes Clinic, Endocrinologist, Registered Nurse, Specialist (includes all medical specialists in relevant field), For providers
|
|
D9517
|
D9517 D9517 - Driver Assessment and Training / Vehicle Modifications - Medical Information Form
|
na
|
For providers, Occupational therapist (general), General Practitioner, Local Medical Officer
|
|
D1397
|
D1397 Defective Administration Compensation Application Form
|
na
|
General
|
|
D0563B
|
D0563B Defined Benefit Income Stream Schedule for Veteran' Affairs assessment purposes
|
na
|
DVA Staff
|
|
D0919
|
D0919 Dental report and voucher
|
dva_webclaim
|
For providers, Dental prosthetist, Dental specialist, Dentist
|
|
D0986
|
D0986 Dental Request for Prior Approval for Treatment or Referral to a Specialist
|
na
|
For providers, Dental prosthetist, Dental specialist, Dentist, Medical specialist
|
|
D2056
|
D2056 Details of Will, Probate and Letters of Administration
|
na
|
General
|
|
D9413
|
D9413 Diabetes Membership Reimbursement
|
na
|
General, Diabetes educator, Diabetes Clinic
|
|
D0653A
|
D0653A Discharge Advice and Hospital Claim
|
na
|
For providers, Hospitals & day procedure centres
|
|
D9416
|
D9416 Disfigurement and Social Impairment - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9449
|
D9449 Disorders of the Colorectum and Anus - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9132
|
D9132 Dose Administration Aid (DAA) service VSMR
|
na
|
For providers, Pharmacist
|
|
D9336
|
D9336 DSHI Direct Debit Request Form
|
na
|
General
|
|
D9417
|
D9417 Ear Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9471
|
D9471 Ear, Nose and Throat Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D0742
|
D0742 Education Schemes Application for Rent Assistance
|
myservice
|
General
|
|
D9482
|
D9482 Elbow Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9438
|
D9438 Elbow Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9521
|
D9521 Employer Incentive Scheme Claim for Reimbursement
|
na
|
For providers
|
|
D9450
|
D9450 Endocrine Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9491
|
D9491 Endocrine Disorder(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9400
|
D9400 Essential Medical Equipment Payment (EMEP) claim
|
na
|
General, For providers
|
|
D9384
|
D9384 Exceptional Case Interruption to Care
|
na
|
For providers, Registered Nurse
|
|
D9297
|
D9297 Exceptional Case Unit - Request for Reimbursement of Nursing Consumables over $1,000
|
na
|
For providers
|
|
D1307
|
D1307 Exceptional Case Variation
|
na
|
Registered Nurse, For providers
|
|
D9470
|
D9470 Eye Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9458
|
D9458 Eye Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9499
|
D9499 Facial Disfigurement - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9488
|
D9488 Female Reproductive System - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9428
|
D9428 Female Reproductive System - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9489
|
D9489 Female Sexual Function - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9427
|
D9427 Female Sexual Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9466
|
D9466 Fistulae and Hernia Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9478
|
D9478 Foot and Toe Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9431
|
D9431 Foot and Toe Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9464
|
D9464 Gastrointestinal Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9446
|
D9446 Gastrointestinal Condition(s) Weight and Nutrition - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9451
|
D9451 Haematological Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9436
|
D9436 Hand & Fingers Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9484
|
D9484 Hand and Finger Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D1221
|
D1221 Health practitioner service voucher
|
dva_webclaim
|
General, For providers
|
|
D9231
|
D9231 Hearing Certificate - VRB
|
na
|
General
|
|
D9473
|
D9473 Hearing Loss and Tinnitus - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9419
|
D9419 Hearing Loss and Tinnitus - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9390
|
D9390 HEAS Advance Request form
|
na
|
General
|
|
D9445
|
D9445 Hernia and Stoma - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9476
|
D9476 Hip Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9434
|
D9434 Hip Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9501
|
D9501 Historic Condition(s) - (DRCA/MRCA/VEA)
|
na
|
Compensation, For providers
|
|
D2662
|
D2662 Home Equity Access Scheme loan (HEAS)
|
na
|
General
|
|
D0652B
|
D0652B Hospital Admission Voucher
|
na
|
For providers, Hospitals & day procedure centres
|
|
D9455
|
D9455 Hypertension - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D0563
|
D0563 Income Stream Schedule for Veterans’ Affairs assessment purposes
|
na
|
General
|
|
D0527
|
D0527 Income Support Pension - Investment Form C
|
na
|
General
|
|
D0515
|
D0515 Income Support Pension - Rent Assistance
|
na
|
General
|
|
D0531
|
D0531 Income Support Pension - Retirement Benefits
|
na
|
General
|
|
D0525
|
D0525 Income Support Pension Business Details
|
na
|
General
|
|
D0517
|
D0517 Income Support Pension Claim - Care Accommodation
|
na
|
General
|
|
D0518
|
D0518 Income Support Pension Claim - Employment Report - Continuing Work
|
na
|
General
|
|
D0526
|
D0526 Income Support Pension Claim - Farm/Hobby Farm
|
na
|
General
|
|
D0522
|
D0522 Income Support Pension Claim - Investment Form A
|
na
|
General
|
|
D0524
|
D0524 Income Support Pension Claim - Real Estate
|
na
|
General
|
|
D0516
|
D0516 Income Support Pension Claim - Retirement Village
|
na
|
General
|
|
D8601
|
D8601 Information Access Application Form
|
na
|
General
|
|
D2049
|
D2049 Injury or disease details sheet
|
na
|
General
|
|
D6346
|
D6346 Intensive Care Patient Certificate
|
na
|
Registered Nurse, For providers, Hospitals & day procedure centres, Medical specialist
|
|
D0501
|
D0501 Intention to Claim Income Support Pension
|
na
|
General
|
|
D9461
|
D9461 Intermittent Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9420
|
D9420 Intermittent Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D0571
|
D0571 Invalidity Income Support Supplement Claim - Medical Work Details
|
na
|
General
|
|
D9283
|
D9283 Job Seeking Questionnaire
|
na
|
For providers, Rehabilitation service provider
|
|
D9475
|
D9475 Knee Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9433
|
D9433 Knee Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D2669
|
D2669 Lifestyle questionnaire
|
na
|
General
|
|
D2670
|
D2670 Lifestyle rating
|
na
|
General
|
|
D9465
|
D9465 Liver and Biliary Tract Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9448
|
D9448 Liver, Pancreas and Gall Bladder Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9498
|
D9498 Loss of Efficient Use (LOEU) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9497
|
D9497 Lower Urinary Tract - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9477
|
D9477 Lower Limb Function (no joint) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9456
|
D9456 Lower Limb Oedema and Vascular Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9435
|
D9435 Lower Limb(s) Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D0557
|
D0557 Lump Sum Advance Payment
|
myservice
|
General
|
|
D0555
|
D0555 Lump Sum Advance Payment - Hardship Claim
|
na
|
General
|
|
D9486
|
D9486 Male Reproductive System - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9426
|
D9426 Male Reproductive System - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9487
|
D9487 Male Sexual Function - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9425
|
D9425 Male Sexual Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9462
|
D9462 Malignant Disorder(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9443
|
D9443 Malignant Disorder(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9490
|
D9490 Mastication and Deglutition - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
d9522
|
d9522 Medical Certificate - Capacity for Work and/or Rehabilitation
|
na
|
For providers, Medical specialist
|
|
D8730
|
D8730 Medical Details of Veteran
|
na
|
General
|
|
D0688
|
D0688 Medical grade footwear (MGF) prescription form
|
na
|
For providers, Orthotist, Podiatrist/Footwear prescriber
|
|
D9292
|
D9292 Medical Imaging Prior Financial Authorisation form
|
na
|
For providers, Hospitals & day procedure centres, Imaging and radiology providers
|
|
D9403
|
D9403 Medicinal Cannabis Tier 2 Application
|
na
|
For providers, General Practitioner, Medical specialist, Specialist (includes all medical specialists in relevant field)
|
|
D9073
|
D9073 MediList and Health Record
|
na
|
General
|
|
D0646
|
D0646 Men's Health Peer Education (MHPE) Volunteer Agreement
|
na
|
General
|
|
D9423
|
D9423 Mental Health Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
d9133
|
d9133 Men’s Health Peer Education Volunteer Application Form
|
na
|
General
|
|
D1302
|
D1302 Men’s Quick Health Check and Health Information Guide
|
na
|
General
|
|
D1355
|
D1355 MHPE Volunteer Reference Form
|
na
|
General
|
|
D1356
|
D1356 MHPE Volunteer Resignation Form
|
na
|
General
|
|
D1318
|
D1318 MVCS Referral to an Occupational Therapist
|
na
|
DVA Staff
|
|
D9424
|
D9424 Neurological Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9468
|
D9468 Neurological – Cognition and Communication - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9467
|
D9467 Neurological – Cranial Nerves - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9232
|
D9232 Notice of Withdrawal - VRB
|
na
|
General
|
|
D9537
|
D9537 Notification of Australian Business Number and reference identification for tax treatment purposes and Recipient Created Tax Invoice agreement
|
na
|
For providers
|
|
D0578
|
D0578 Notification of Overseas Travel
|
myservice
|
General
|
|
D1372
|
D1372 Optical dispensing registration form
|
na
|
For providers, Medical specialist, Optometrist, Orthoptist and Optical dispenser
|
|
D1399
|
D1399 Optical treatment prior financial approval request
|
na
|
For providers, Optometrist, Orthoptist and Optical dispenser
|
|
D1223
|
D1223 Optometric, optometry and optical service voucher
|
dva_webclaim
|
General, For providers, Optometrist, Orthoptist and Optical dispenser, Optometrist
|
|
D9352
|
D9352 Orthotist prior financial approval request form
|
na
|
For providers, Orthotist
|
|
-
|
- Outreach Program Counsellor (OPC) statutory registration form
|
na
|
For providers, Clinical psychologist, Psychologist, Social worker (mental health)
|
|
D9121
|
D9121 Overseas Privately-Constructed Memorial Program - grants exceeding $10000
|
na
|
General
|
|
D9122
|
D9122 Overseas Privately-Constructed Memorial Restoration Program letter of acceptance
|
na
|
General
|
|
D9120
|
D9120 Overseas Privately-Constructed Memorial Restoration Program Statement of Compliance
|
na
|
General
|
|
D9534
|
D9534 Pain Programs Prior Financial Authorisation
|
na
|
For providers
|
|
D0633
|
D0633 Part B - Real Estate Details
|
na
|
General
|
|
D9378
|
D9378 Partner Declaration and Consent
|
na
|
General
|
|
D1218
|
D1218 Pathology service voucher
|
dva_webclaim
|
General, For providers
|
|
D0640
|
D0640 Pension Bonus Scheme - 52 Week Work Record
|
na
|
General
|
|
D9362
|
D9362 Pension Life Certificate
|
na
|
General
|
|
D9050
|
D9050 Pension Payment - Amended Account Details
|
na
|
General
|
|
D9216
|
D9216 Pension payment details for widow or widower of a deceased veteran
|
na
|
General
|
|
D9493
|
D9493 Peripheral Vascular Disease - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9421
|
D9421 Permanence, Stability and Treatment - (DRCA/MRCA)
|
na
|
Compensation, For providers
|
|
D2590
|
D2590 Personal Identity Discrepancy Details (Request to update ATO records)
|
na
|
General
|
|
D8729
|
D8729 Personal Information Sheet
|
na
|
General
|
|
D9314
|
D9314 Prior Approval Request for Treatment of Alcohol and Other Drug Use (AOD)
|
na
|
For providers, Clinical psychologist, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Psychologist, Social worker (mental health)
|
|
D9334
|
D9334 Prior Approval Request Form for DVA clients receiving treatment outside Australia
|
na
|
General
|
|
D9396
|
D9396 Prior Financial Approval Request for Non Contracted Mental Health Programs
|
na
|
General
|
|
d9533
|
d9533 Prior Financial Authorisation for Ketamine, EsKetamine and TMS for Treatment Resistant Depression
|
na
|
For providers, Psychiatrist
|
|
D9406
|
D9406 Privacy Consent Notice Young Person (Parent or Guardian)
|
na
|
|
|
D0600
|
D0600 Private Company
|
na
|
General
|
|
D0601
|
D0601 Private Trust
|
na
|
General
|
|
D0663
|
D0663 Proving your identity to DVA
|
na
|
General
|
|
D9463
|
D9463 Psychiatric Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D0506
|
D0506 Qualifying service claim
|
myservice
|
General
|
|
D0502
|
D0502 Qualifying Service Details Partner/Widow(er) of Non-Pensioner Veteran or Mariner (Australian, Commonwealth or Allied)
|
na
|
General
|
|
D0506a
|
D0506a Qualifying Service Details Service during World War II
|
na
|
General
|
|
D0507b
|
D0507b Qualifying Service details Service with Forces in Yugoslavia during the Second World War
|
na
|
General
|
|
D0507a
|
D0507a Qualifying Service Details Service with the Armed Forces of the Republic of Vietnam
|
na
|
General
|
|
D9218
|
D9218 Reimbursement Claim Form F-111 SHOAMP Health Care Scheme
|
na
|
General
|
|
D9459
|
D9459 Renal Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D0553
|
D0553 Rent Deductions to State Housing Authorities
|
na
|
General
|
|
D9265
|
D9265 Report a Fraud
|
na
|
General
|
|
d9535
|
d9535 Request for a cause of death to be assessed as war related form
|
na
|
General
|
|
D1378
|
D1378 Request for approval to use the DVA Logo
|
na
|
General
|
|
D9054
|
D9054 Request for Information - ATO
|
na
|
General
|
|
D9165
|
D9165 Request for nutritional supplementation
|
na
|
Dietitian, General Practitioner, Hospitals & day procedure centres
|
|
D9081
|
D9081 Request for permission to use the Service Badge
|
na
|
General
|
|
D9323
|
D9323 Request for Prior Approval for Dental Implants
|
na
|
For providers, Dental prosthetist, Dental specialist, Dentist, Hospitals & day procedure centres, Medical specialist
|
|
D9371
|
D9371 Request for Provision of Attendant Care Services by a Partner, Relative or Friend
|
na
|
General
|
|
D9351
|
D9351 Request for Transfer of Rehabilitation Authority under section 39(3)(aa) of the MRCA for a current serving member of the ADF
|
na
|
General
|
|
D0511
|
D0511 Residence in Australia
|
na
|
General
|
|
D9469
|
D9469 Respiratory Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9454
|
D9454 Respiratory Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9284
|
D9284 Retraining Questionnaire
|
na
|
For providers, Rehabilitation service provider
|
|
D0647
|
D0647 Self-nomination Form for Men's Health Peer Education Program Volunteer Representative
|
na
|
General
|
|
D0513
|
D0513 Separation from Partner
|
na
|
General
|
|
D7604
|
D7604 Service Eligibility Check
|
na
|
General
|
|
D0569
|
D0569 Service Pension Claim - Invalidity Details
|
na
|
General
|
|
D0570
|
D0570 Service Pension Claim - Work Test Questionnaire
|
na
|
For providers
|
|
D9481
|
D9481 Shoulder Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9439
|
D9439 Shoulder Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9495
|
D9495 Skin Disorder(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9444
|
D9444 Skin Disorder(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9460
|
D9460 Sleep Disorder(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D1359
|
D1359 Smoking Questionnaire - Claimant
|
na
|
General
|
|
D1219
|
D1219 Smoking Questionnaire - Dependant
|
na
|
General
|
|
D9059
|
D9059 Special Disability Trust
|
na
|
General
|
|
D1390
|
D1390 Specialist Medical Review Council Submission Form
|
na
|
General
|
|
D0931
|
D0931 Spectacles prescription
|
na
|
For providers, Optometrist, Orthoptist and Optical dispenser
|
|
D2589
|
D2589 Statement of Circumstances
|
na
|
General
|
|
D2708
|
D2708 Statement of Financial Circumstances
|
na
|
General
|
|
D9157
|
D9157 Statement of Relationship - Couple living separately due to illness
|
na
|
General
|
|
D2037
|
D2037 Tax File Number Registration
|
na
|
General
|
|
D9479
|
D9479 Thoraco-lumbar Spine Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9442
|
D9442 Thoracolumbar Spine Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
TFI01
|
TFI01 Tinnitus Functional Index Questionnaire and Scoring Instructions
|
na
|
For providers, Audiologist
|
|
D7605
|
D7605 Transfer of Ownership Application
|
na
|
General
|
|
D1328
|
D1328 Treatment prior financial approval request
|
na
|
For providers, Chiropractor, Clinical psychologist, Dental prosthetist, Dental specialist, Dentist, Diabetes educator, Dietitian, Exercise physiologist, General Practitioner, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Occupational therapist (general), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (mental health), Speech pathologist
|
|
D1216
|
D1216 Treatment service voucher
|
dva_webclaim
|
General, For providers, General Practitioner
|
|
D1216G
|
D1216G Treatment service voucher (for use by general practitioners only)
|
dva_webclaim
|
General, For providers, General Practitioner
|
|
D1216S
|
D1216S Treatment service voucher (for use by specialists and consultant physicians only)
|
dva_webclaim
|
General, For providers, Physiotherapist, Continence Adviser (Registered nurse or Physiotherapist Continence Adviser), Exercise physiologist
|
|
D9295
|
D9295 Update of Property Information
|
na
|
General
|
|
D9447
|
D9447 Upper Gastrointestinal Tract Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9485
|
D9485 Upper Limb Function (no joint) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9440
|
D9440 Upper Limb(s) Function - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9422
|
D9422 Upper Respiratory Tract - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|
|
D9496
|
D9496 Upper Urinary Tract - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D0005
|
D0005 Variation of a Published Nominal Roll
|
na
|
General
|
|
D2639
|
D2639 VCES Eligibility - Professional Assessment
|
na
|
General
|
|
D9494
|
D9494 Venous Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9472
|
D9472 Vertigo - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9388
|
D9388 Veteran Health Check Assessment Tool
|
na
|
For providers
|
|
D3053
|
D3053 Veterans Supplement Payment Form
|
na
|
General
|
|
D7524
|
D7524 Veterans' Review Board Application for Review
|
na
|
General
|
|
D1000
|
D1000 Veterans’ Vocational Rehabilitation Scheme Application Form
|
na
|
General
|
|
D1338
|
D1338 Vietnam Veterans' Sons and Daughters Support Program (VVSDSP) - prior approval form
|
na
|
General, For providers, Chiropractor, Clinical psychologist, Dental prosthetist, Dental specialist, Dentist, Dietitian, Exercise physiologist, General Practitioner, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Occupational therapist (general), Occupational therapist (mental health), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (general), Social worker (mental health), Speech pathologist
|
|
D9303
|
D9303 Vocational Education and Training Application
|
na
|
General
|
|
D9269
|
D9269 VVRS – Rehabilitation Rights and Obligations
|
na
|
General
|
|
D9007
|
D9007 VVSDSP - Application for Registration
|
na
|
General
|
|
D9008
|
D9008 VVSDSP - Claim and Reimbursement Form
|
na
|
General
|
|
D9053
|
D9053 VVSDSP - Travel and Accommodation Claim Form
|
myservice
|
General
|
|
D9335
|
D9335 Wellbeing and Support Program Client Consent
|
na
|
General
|
|
D9079
|
D9079 Witness Questionnaire - Services with Forces in South Vietnam
|
na
|
General
|
|
D9483
|
D9483 Wrist Condition(s) - (DRCA)
|
na
|
Compensation (DRCA), Compensation, For providers
|
|
D9437
|
D9437 Wrist Condition(s) - (MRCA/VEA)
|
na
|
Compensation (MRCA/VEA), Compensation, For providers
|