Application for Stoma Appliance Scheme
Please click the link below to download the Stoma Appliance Scheme Application Form PB049.
This form must be completed and lodged with the Association along with the covering joining fee before any appliance product order becomes effective.
Once your application form is processed, you will receive a government issued ‘Appliance Entitlement Card’ with your entitlement number. All orders must quote this number.
Application for Additional Stoma Supplies
Please click the link below to download the Application for Additional Stoma Supplies PB050.
This form when completed by a Stomaltherapist or Medical practitioner, makes provision under the Stoma Appliance Scheme for extra monthly ostomy supplies when the Ostomate has an extenuating stoma condition which has been properly assessed and diagnosed and justifies supplies in excess of the allowed monthly maximum allowances.
The member must sign this form on page 3 and tick the ‘Yes’ box.