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About Worksafe Contract

WorkSafe Equipment Forms

Equipment prescription form.

Service providers can use this form to request equipment, including repairs and modifications, for an injured employee.

WorkSafe Equipment Prescription Form

Hospital Direct Equipment Order Form.

Hospitals can use this form to order equipment for an injured worker to use after being discharged from hospital.

WorkSafe Hospital Direct Order Form

Country Care Group is a contracted supplier to the WorkSafe Victoria equipment and related services program 2021.

Standard items are provided by WorkSafe’s contracted equipment suppliers and are included in the contracted supplier equipment list. Please click on the link below for the approved equipment list.

WorkSafe Equipment List
Country Care Group

1800 843 224

enquiry@countrycaregroup.com.au

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