For hospitals – use this form to directly order equipment from our contracted suppliers when required to facilitate the effective discharge of the patient.
Items valued up to $1,000 can be ordered, and the patient must have an accepted TAC claim. Follow the instructions in the form to ensure orders are processed without delay.
The equipment listed on the form are the most commonly required to ensure a patient's safe discharge, although any item can be ordered from our contracted supplier. Requests for equipment over $1,000 need to be made in writing to us.