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VitalCall is Australia’s
leading provider of 24 hours a day, 7 day a week personal emergency response alarms.

Assessment Form for the supply of a Personal Response System

For queries contact the DVA Health Provider Line: 1300 550 457 (metro) 1800 550 457 (regional) - Option 1

Note:
National Guidelines for the supply of a Personal Response System (PRS) are available on the internet at: http://www.dva.gov.au/providers/provider-programmes/rehabilitation-appliances-program-rap#national-guidelines. Prescribers are advised to take into consideration the criteria listed in the guidelines before prescribing a PRS.

Personal Details

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Warning

VitalCall does not currently provide non-monitored alarms.
Please contact DVA for more information.

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Criteria - Note: The criteria listed below is a summary of the criteria required to be considered prior to prescription of a PRS to be supplied by the Department.

The entitled person should meet one or more of the following criteria prior to the provision of a personal response system

The entitled person must meet all of the following criteria prior to the provision of a personal response system.

If applicable, use this section to expand on any previous sections including important medical conditions, allergies, or other personal details.

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Technical Information

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Prescriber Information

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Emergency Contact Details


Please enter your full address and select from the list below


 


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Important information for our customers regarding business continuity and COVID-19

Our workforce remains committed to meeting the essential needs of our customers to ensure that they too can continue to provide their much-needed products and services.

Our commitment remains steadfast to ensure the safety of our employees while delivering the essential solutions and services we know customers rely on to keep them safe.

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Personal Alarm Systems

Personal Alarm Systems

Pendant or bracelet, our personal alarms are monitored 24/7 to give you peace of mind.

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