Use these forms to arrange treatment and support services for veterans and their dependents who have DVA health cards.

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Most often used

Form ID Form name Who can use this form Updated Download
D0992 D0992 - Mobility Functional Support (MFS) products order form For providers, General Practitioner, Hospitals & day procedure centres, Medical specialist, Occupational therapist (general), Physiotherapist, Rehabilitation service provider, Registered Nurse, Exercise physiologist, Podiatrist, Orthotist, Prosthetist 3 April 2025 Download as PDF (120.17 KB)
D0904 D0904 - DVA request/referral voucher For providers, General Practitioner 3 April 2025 Download as PDF (143.53 KB)
D9132 Dose Administration Aid (DAA) service VSMR For providers, Pharmacist 3 April 2025 Download as PDF (305.76 KB)
D9300 D9300 - Electric Mobility Aids - Part 1 - Medical Assessment For providers, General Practitioner 3 April 2025 Download as PDF (168.96 KB)
D0988 D0988 – Continence direct order form For providers, General Practitioner, Medical specialist, Occupational therapist (general), Occupational therapist (mental health), Physiotherapist, Registered Nurse 3 April 2025 Download as PDF (164.89 KB)

All forms

Form ID Form name Who can use this form Updated Download
D9403 Medicinal Cannabis Tier 2 Application For providers, General Practitioner, Medical specialist, Specialist (includes all medical specialists in relevant field) Download as PDF (204.49 KB)
D9423 Mental Health Condition(s) - (MRCA/VEA) Compensation (MRCA/VEA), Compensation, For providers Download as DOCX (1.56 MB)
D9423 Mental Health Condition(s) - (MRCA/VEA) Compensation (MRCA/VEA), Compensation, For providers Download as PDF (323.39 KB)
D9424 Neurological Function - (MRCA/VEA) Compensation (MRCA/VEA), Compensation, For providers Download as DOCX (1.56 MB)
D9424 Neurological Function - (MRCA/VEA) Compensation (MRCA/VEA), Compensation, For providers Download as PDF (312.26 KB)
D9468 Neurological – Cognition and Communication - (DRCA) Compensation (DRCA), Compensation, For providers Download as DOCX (85.05 KB)
D9468 Neurological – Cognition and Communication - (DRCA) Compensation (DRCA), Compensation, For providers Download as PDF (492.85 KB)
D9467 Neurological – Cranial Nerves - (DRCA) Compensation (DRCA), Compensation, For providers Download as DOCX (71.3 KB)
D9467 Neurological – Cranial Nerves - (DRCA) Compensation (DRCA), Compensation, For providers Download as PDF (346.3 KB)
D9537 Notification of Australian Business Number and reference identification for tax treatment purposes and Recipient Created Tax Invoice agreement For providers Download as PDF (166.09 KB)
D1372 Optical dispensing registration form For providers, Medical specialist, Optometrist, Orthoptist and Optical dispenser Download as PDF (183.85 KB)
D1399 Optical treatment prior financial approval request For providers, Optometrist, Orthoptist and Optical dispenser Download as PDF (140.11 KB)
D1223 Optometric, optometry and optical service voucher General, For providers, Optometrist, Orthoptist and Optical dispenser, Optometrist Download as PDF (140.58 KB)
D9352 Orthotist prior financial approval request form For providers, Orthotist Download as PDF (141.78 KB)
- Outreach Program Counsellor (OPC) statutory registration form For providers, Clinical psychologist, Psychologist, Social worker (mental health)
D9534 Pain Programs Prior Financial Authorisation For providers Download as PDF (245.39 KB)
D1218 Pathology service voucher General, For providers Download as PDF (140.58 KB)
D9493 Peripheral Vascular Disease - (DRCA) Compensation (DRCA), Compensation, For providers Download as DOCX (66.73 KB)
D9493 Peripheral Vascular Disease - (DRCA) Compensation (DRCA), Compensation, For providers Download as PDF (183.57 KB)
D9421 Permanence, Stability and Treatment - (DRCA/MRCA) Compensation, For providers Download as DOCX (71.42 KB)
D9421 Permanence, Stability and Treatment - (DRCA/MRCA) Compensation, For providers Download as PDF (324.31 KB)
D9314 Prior Approval Request for Treatment of Alcohol and Other Drug Use (AOD) For providers, Clinical psychologist, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Psychologist, Social worker (mental health) Download as PDF (218.95 KB)
d9533 Prior Financial Authorisation for Ketamine, EsKetamine and TMS for Treatment Resistant Depression For providers, Psychiatrist Download as PDF (154.86 KB)
D9463 Psychiatric Condition(s) - (DRCA) Compensation (DRCA), Compensation, For providers Download as DOCX (82.77 KB)
D9463 Psychiatric Condition(s) - (DRCA) Compensation (DRCA), Compensation, For providers Download as PDF (599.01 KB)