Orthotics device request form

Summary:

For medical and health providers – use this form to request specialised orthotic devices. You will need to provide details of the orthotic devices you need, and the associated clinical services to improve the function and mobility of your patient.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. Please email forms or other documents to info@tac.vic.gov.au and include the client's claim number in the subject line.