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ENAE205 Manual Wheelchair Specification

Manual Wheelchair Specification Form for EMS Assessors

Published:

• Assessors
• Equipment
• DSS

Available formats

• 

  DOCX 90.25 KB

  Download 90.25 KB docx ENAE205 Manual Wheelchair Specification

ENAE206 Power wheelchair specification form

Forms to be completed by an EMS Assessor with an advice request for power wheelchairs.

Published: March 8th, 2024

• DSS
• Equipment

Available formats

• 

  DOCX 206.26 KB

  Download 206.26 KB docx ENAE206 Power wheelchair specification form

ENAE208 Replacement Equipment Form

ENAE208 Request form for assessors to replace client equipment which is beyond economic repair.

Published: August 11th, 2015

• Equipment
• DSS

Available formats

• 

  DOCX 87.07 KB

  Download 87.07 KB docx ENAE208 Replacement Equipment Form

ENAE211 Referral for outreach clinic form

A comprehensive referral form for outreach clinics, focusing on wheelchair and seating needs that need to be completed by an EMS Assessor.

Published: January 22nd, 2024

• Assessors
• Equipment

Available formats

• 

  DOCX 94.12 KB

  Download 94.12 KB docx ENAE211 Referral for outreach clinic form

ENAE212 Whaikaha Care and use of equipment form

Form for Equipment assessors to have clients sign when issued equipment

Published: August 28th, 2023

• Assessors
• Equipment
• DSS

Available formats

• 

  DOCX 67.51 KB

  Download 67.51 KB docx ENAE212 Whaikaha Care and use of equipment form

ENAE213 Equipment Information Form

Equipment Information Form

Published: November 14th, 2014

• Equipment
• Subcontractors

Available formats

• 

  DOCX 93.72 KB

  Download 93.72 KB docx ENAE213 Equipment Information Form

ENAE218 Equipment Hire Request - Canterbury Te Whatu Ora

Canterbury equipment hire form for Te Whatu Ora hospitals in Canterbury

Published: August 28th, 2023

• Te Whatu Ora
• Equipment

Available formats

• 

  DOCX 103.74 KB

  Download 103.74 KB docx ENAE218 Equipment Hire Request - Canterbury Te Whatu Ora

ENAE219 Equipment Hire Request - West Coast Te Whatu Ora

West Coast equipment hire form for EMS Assessors from Te Whatu Ora in the West Coast

Published: August 23rd, 2016

• Te Whatu Ora
• Equipment

Available formats

• 

  DOCX 106.38 KB

  Download 106.38 KB docx ENAE219 Equipment Hire Request - West Coast Te Whatu Ora

ENAE220 Enable Change of Supplier details Form

Form for changing your Supplier Details that Enable New Zealand holds

Published: June 14th, 2024

• Enable NZ
• Subcontractors

Available formats

• 

  DOCX 62.59 KB

  Download 62.59 KB docx ENAE220 Enable Change of Supplier details Form

ENAE221 Enable Spectacles App new user form

Form for setting an Administrator up on the Enable Spectacles App

Published: May 1st, 2019

• Spectacles
• Assessors
• DSS

Available formats

• 

  DOC 176.00 KB

  Download 176.00 KB doc ENAE221 Enable Spectacles App new user form