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Domiciliary Equipment Service

Domiciliary Equipment Service

Prescription Forms

Equipment needs to be ordered using a paper prescription form by any DHS prescriber ordering items not available on the catalogue, or requesting significant adjustments of those items and all non-DHS prescribers.

Home Modifications need to be ordered using a paper prescription form.

Additional specifications may be required for more complex prescriptions, provided to DES using the relevant specification forms in addition to a prescription form. This enables DES ensure the appropriate item is provided meeting individual needs.

Approved prescription forms can be faxed to DES on 1300 295 839 or emailed to

Please note that Equipment Program prescriptions may need to go via an internal agency. See prescription form for details.

State Government of South Australia © Copyright DHS .

Last updated:29 May 2017 4:24pm
Provided by:
Department of Human Services
Last Updated:
27 Mar 2018
Printed on:
17 Oct 2018
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