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FlexEquip online referral form

The requesting health professions MUST notify FlexEquip if there are people who are unwell with a suspected or confirmed case of coronavirus (COVID-19) in the household on submission of this equipment referral.
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NSW and ACT health professionals are advised to read FlexEquip eligibility criteria and FlexEquip equipment range prior to making a referral.

Please complete all mandatory fields marked with an *

Service provider details
Contact details of requesting health professional

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