Hospital discharge continence prescription form

Hospital continence nurses can use this form to request continence equipment for an injured worker before they are discharged from hospital.

Shape
 
Published: 01 Jul 2014
 
File type: PDF
 
File size: 300.46 kB
 
Length: 8 pages
 
Reading level: Difficult

What it contains

This form is used by hospital-based continence nurses to request continence equipment for Victorian WorkCover Authority (VWA) workers. The information in this form is for use by the VWA and will not otherwise be exchanged with any other party, except in accordance with law.