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VitalCALL has helped

over 200,000 people remain independent at home.

Book an installation

Patients with a DVA gold card require a D9199 to be completed during an in-home assessment with an Occupational Therapist and forwarded to VitalCALL. *

Customer's Details

DVA Gold Cardholder *
Title *
Customer's first name *
Customer's surname *
Date of Birth *
Email *
Daytime number *
Mobile number
Address *
Please enter your full address and select from the list below
Suburb *
State *
Postcode *

Additional Comments

Client's consent *

Family / Friends Details

The person VitalCall should contact to make arrangements for the demonstration. Please list name and relationship. (Please ignore this section if you are a customer).

Name
Relationship
Friend/family phone number (inc area code)
Friend/family phone number #2 (inc area code)
 
Refer a patient DVA D9199 form Book an installation

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

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

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