Contact us: 1300 295 786

Domiciliary Equipment Service

Domiciliary Equipment Service

Prescription and Request Forms

Equipment needs to be ordered using a prescription form.  Select the correct form, depending on the funding that is being used for the supply of the items.

You can order equipment for DHS Equipment Program and Commonwealth Home Support Programme (CHSP) clients using iApply - Equipment Requests.

Home Modifications need to be ordered using a prescription form.

Additional specifications may be required for more complex prescriptions, and these should be provided to DES using the relevant specification forms in addition to a prescription form. This enables DES to ensure that the appropriate item is provided to meet an individual need.

All prescription and request forms can be faxed to DES on 1300 295 839 or emailed to

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Last updated:29 May 2017 4:24pm
Provided by:
Department of Human Services
Last Updated:
27 Mar 2018
Printed on:
23 Sep 2020
The Domiciliary Equipment Service website is licensed under a Creative Commons Attribution 3.0 Australia Licence. © Copyright 2016