Community Nursing
Exceptional Case Management
The following forms for exceptional case management are available on our Forms System in Adobe Acrobat PDF and HTML formats.
Note: You need Adobe Acrobat Reader on your system to access PDF files. For more information about using Acrobat Reader and PDF files, click here to go to a PDF help page on the DVA website.
Click on the Form you require below to go to the DVA Forms system. Alternatively you can search for the title of the Form in the DVA Forms System.
Note: The forms below will open in a new browser window.
D1004: Exceptional Case
Status Application
D1008: Exceptional Case Status Variation Request
D1009: Exceptional Case Funding Clinical Review (for use by clinical reviewers only)
D1015: - Extension Request for Exceptional Case Status or Additional Travel with Schedule Fee
D1019: Exceptional Case Status Notification of Interruption to Care/Discharge or Death Form
D1020 - Additional Travel for Exceptional Case Status or Schedule Fee