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Powerchairs Motability Prescription FormTel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.ukQ1 Jan Mar 2022Customer Ref*Account No*Contact
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How to fill out motability prescription form

01
Gather all relevant personal information including name, address, and contact details.
02
Obtain a copy of the Motability prescription form either online or from your healthcare provider.
03
Fill in the patient's details, ensuring accuracy in spelling and information.
04
Include the relevant medical information related to the disability or condition that necessitates the vehicle.
05
Provide details about the type of vehicle needed, specifying any adaptations or features required.
06
Ensure the form is signed by the prescribing healthcare professional.
07
Review the completed form for any errors or omissions.
08
Submit the completed form to Motability as per the given instructions.

Who needs motability prescription form?

01
Individuals with a disability or long-term health condition that affects their mobility.
02
People who are receiving a specific disability benefit, such as the Higher Rate Mobility Component of Disability Living Allowance (DLA) or Personal Independence Payment (PIP).
03
Caregivers or guardians filling out the form on behalf of eligible individuals.
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The Motability prescription form is a document that enables individuals to apply for vehicles or mobility aids under the Motability scheme by providing necessary medical information.
Individuals who wish to participate in the Motability scheme and require funding for vehicles or mobility aids based on medical needs are required to file the Motability prescription form.
To fill out the Motability prescription form, individuals should provide accurate personal information, details of their medical condition, and any supporting documentation required by the Motability scheme.
The purpose of the Motability prescription form is to assess an individual's eligibility for the Motability scheme and to ensure they receive the appropriate assistance based on their mobility needs.
The Motability prescription form must report personal identification details, medical history, current mobility needs, and any relevant supporting documents from healthcare professionals.
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