RAP schedule forms

Last updated: 
15 July 2020

Here you can find the forms you may need to prescribe an item under the Rehabilitation Appliances Program (RAP).

Forms

Forms are listed in alphabetical order. Guidelines are available to help you prescribe certain items.

Communication devices

See our guidelines page for more information on how to prescribe communication devices

Continence

For more information on how to prescribe continence products see our guidelines:

Essential medical equipment

Apply for an annual payment to help with the energy costs of essential medical equipment.

Exercise bikes

Home modifications

See our guidelines page for more information on how to prescribe home modifications

Low vision products (CCTV)

See our guidelines page for more information on how to prescribe CCTV

Mobility & functional support

See our guidelines page for more information on how to prescribe recliner chairs and adjustable electric beds

Oxygen and breathing support

For more information on how to prescribe see our guidelines:

Personal Response System (PRS)

See our guidelines page for more information on how to prescribe

Psychiatric assistance dogs

See our guidelines page for more information on how to prescribe

Request / referral for LMO use

Scooters or electric wheelchairs

See our guidelines page for more information on how to prescribe

Thickeners