Collect my equipment form

Required fields are marked with an asterisk (*).

Privacy notice

The personal information you provide will be used by EnableNSW to action your request.

Where necessary, we may need to disclose some of this information to third party organisations for the following reasons only:

  • For the delivery or set up of equipment with an authorised supplier
  • For the repair of equipment with an authorised repairer
  • To assist other government agencies in the event of an emergency situation

If you would like to view or make changes to your information, please send an email to enable@health.nsw.gov.au or call 1800 ENABLE (1800 362 253).

Please provide as much information as you can about the equipment you need collected: (person who has been loaned the equipment) (if different from the client)

Collection details

(If you have multiple items, ensure you list each item and brand if known) This can include stair access, steep driveways, first floor access etc.