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  1. Pharmacy: erectile dysfunction questionnaire

    7 Jun 2013: Pharmacy: erectile dysfunction questionnaire. For medical practitioners – complete this form to provide information on a client's erectile issues. This will allow us to determine if we can pay for their erectile dysfunction medication. . Pharmacy:

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /pharmacy-erectile-dysfunction-questionnaire

  2. Integration support: teacher account form

    7 Jun 2013: Integration support: teacher account form. For schools – complete this form to claim payment/reimbursement of an integration teacher funded by us to assist a student who is our client. . Integration support: teacher account form - IKF7. (. doc -

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /integration-support-teacher-account-form

  3. Prosthetics: management review lower extremity form

    7 Jun 2013: Prosthetics: management review lower extremity form. For prosthetists and orthotists – use this form when requested by us to review a client’s prosthetic management and measure progress against the predicted outcomes specified in the initial

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /prosthetics-management-review-lower-extremity-form

  4. Funeral and Dependency Benefits claim form

    11 Jun 2013: Funeral and Dependency Benefits claim form. For families and representatives – complete this form to make a claim for funeral, burial and cremation expenses and/or dependency benefits for a person who has died as a result of a transport accident.

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /burialcremation-and-dependency-benefits-claim-form

  5. Prosthetics: management review upper extremity form

    7 Jun 2013: Prosthetics: management review upper extremity form. For prosthetists and orthotists – use this form when requested by us to review a client’s prosthetic management and measure progress against the predicted outcomes specified in the initial

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /prosthetics-management-review-upper-extremity-form

  6. Definition of severe injury

    7 Jun 2013: Definition of severe injury. "Severe injury", except in Part 6, means:. a significant acquired brain injury, paraplegia, quadriplegia, amputation of a limb or burns to more than 50 percent of the body; or. any other injury specified by the

    https://www.tac.vic.gov.au/clients/how-we-can-help/treatments-and-services
    /policies/supporting/definition-of-severe-injury

  7. Living in the community assessment form

    11 Jun 2013: Living in the community assessment form. For case managers – in consultation with your client, use this form to prepare for living in the community after hospital. To ensure a safe and smooth transition, the assessment looks at the client's daily

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /living-in-the-community-assessment-form

  8. Education support: individual education plan

    7 Jun 2013: Education support: individual education plan. For schools and educational facilities – complete this plan to request educational support services, outlining the learning goals that the student is expected to achieve once support is in place. .

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /education-support-individual-education-plan

  9. Speech pathology: management review plan (SPMR) form

    7 Jun 2013: Speech pathology: management review plan (SPMR) form. For speech pathologists – complete this form when requested by us to report on the progress and effectiveness of a client's speech pathology treatment and management plan. Outline their

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /speech-pathology-management-review-plan-spmr-form

  10. Integration support: goal development worksheet

    7 Jun 2013: Integration support: goal development worksheet. For schools – use this worksheet to record the goals of a student who is our client and requires education support. . Integration support: goal development worksheet - IKF3. (. doc - 922.0 KB )..

    https://www.tac.vic.gov.au/providers/documents-and-forms/basic-forms
    /integration-support-goal-development-worksheet

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