Please note that e.quip services provides rehabilitation equipment through the

Department of Veterans' Affairs Rehabilitation Appliances Program (RAP)

in Victoria Australia only (for retail enquiries, please contact our suppliers directly).

If you are enquiring about a product, please indicate the product no.

* Denotes required field.

Your Name: *

Organisation:

City/Town:*

Email:*

Phone: *

My query relates to a DVA Gold or White Card Holder (Y/N): *

What is Your Profession? Occupational Therapist Physiotherapist Registered Nurse Local Medical Officer/GP Osteopath Chiropractor Specialist Orthotist Podiatrist Prosthetist Speech Pathologist Other I am not a health professional

Comments/Query: *