The CAPS Application Form

The CAPS application form is made up of three important sections:

• Section 1: Applicant Details, to be signed by the applicant - this section is mandatory
• Section 2: Representative Details, by the applicant's representative (if required)
• Section 3: Health Report, signed by a health professional who is in a position to make an accurate assessment

The application form also contains a section at the back which may be detached. This section is intended to allow a Health Professional  to make recommendations such as a type of product a client might require or recommend a continence reassessment date. This information is for the client's personal use and is not a reassessment of the client’s eligibility for CAPS. 

Transfer your CAPS funding to an Intouch Direct account for easier management by filling in the pre-populated form here.

Clients can apply for the CAPS program using the standard form here.

Who can sign the form?

Apart from the relevant applicant and representative (if required), the form should be signed by an appropriate health professional who may be a:

• Continence nurse
• General practitioner
• Medical specialist
• Community nurse
• Physiotherapist
• Occupational therapist
• Aboriginal health worker

Submitting the Application

CAPS application forms should be sent to Medicare Australia or to their designated supplier (including certified copies of the representatives’ documentation, if required).

Application forms should not be sent to the Secretary of the Department of Health and Ageing as this will lengthen the application process.

If you would like to transfer your funding to an Intouch Direct account fill in the pre-populated form and send to:

Intouch Direct

PO Box 7283

Hemmant Qld 4174

Alternatively you can mail your form directly to Medicare Australia by mailing to:

Continence Aids Payment Scheme

Medicare Australia

GPO Box 9822

Sydney NSW 2001

or you may submit your  CAPS application form in person at any Medicare Australia office.