EMS equipment
Last updated on 04 August 2023
Our forms and guides for EMS equipment assessors and repair technician subcontractors.
Customer
ENAE212 - Care and Use of Equipment Form (DOCX, 119 KB)
ENAS001 - Equipment Instructions North Island (PDF, 802 KB)
ENAS002 - Equipment Instructions South Island (PDF, 830 KB)
ENAP1002 - Equipment Instructions Palliative Care (PDF, 428 KB)
2304 - Equipment Gifting Waver (DOCX, 58 KB)
ENAE207 - Equipment Gifting to Whaikaha form (DOCX, 63 KB, 2 pages)
EMS advice
ENA112 - EMS Advice Request form (PWF) (DOCX, 104 KB)
Wheelchairs
ENAE205 - Manual Wheelchair Specification (DOCX, 87 KB)
ENAE206 - Power Wheelchair Specification (DOCX, 220 KB)
Wheelchair and seating outreach
ENAE211 - Outreach Service Referral and Outcome Summary WMPM (DOCX, 89 KB)
Replacement
ENAE208 - Replacement Equipment (DOCX, 81 KB)
Subcontractors
Enable Equipment Repair Subcontractor Manual (PDF, 1.3 MB)
User notes - Under $500 repair job cards (PDF, 466 KB)
ENAS004 Job Card (DOCX, 765 KB)
ENAS007 - Subcontractor Technician Request Form (DOCX, 53 KB)
ENAS009 - Subcontractor Purchase Order Request (DOCX, 115 KB)
Trials
Supplier trial request form (PDF, 31 KB)
Notices
Whaikaha - Ministry of Disabled People owned equipment for sale (PDF, 220 KB)
Whaikaha/MOE joint funding
Download joint funding forms from the Whaikaha website (updated May 2023)