Forms

This section contains all the forms necessary for managing registration with the NDSS.

Registration

Registration with the NDSS is free and only needs to be done once. To find out more about the registration process, including eligibility requirements, please visit the Registration page

Registration Form

Personal Details Update Form

Medication Change Form

Blood Glucose Test Strip Six Month Approval Form

Address Update or Request New Card Online Form

Insulin Pump Consumables Assessment

If you would like your patients to be able to purchase Insulin Pump Consumables (IPCs) from the NDSS, you will need to complete an Insulin Pump Consumables Assessment Form to show they meet all relevant criteria. This needs to be signed by an endocrinologist, specialist physician or credentialed diabetes educator.

NDSS Insulin Pump Consumables Assessment Form

Continuous Glucose Monitoring Eligibility Assessment

The Australian Government is now providing access to fully subsidised continuous glucose monitoring (CGM) products through the NDSS. To be eligible, the person with diabetes will need to be assessed by an authorised health professional to determine if they meet certain specific criteria. Find out more about the specific criteria for each of the eligible groups.

If you would like people to be able to access CGM from the NDSS, you will need to complete and sign the Continuous Glucose Monitoring Eligibility Assessment Form specific to the individual to show that they meet all the relevant criteria. The health professionals authorised to certify CGM Eligibility Assessment Forms are endocrinologists, diabetologists, credentialled diabetes educators, or other health professionals specialising in diabetes (physicians, paediatricians or nurse practitioners).

Continuous Glucose Monitoring Eligibility Assessment Forms:

Type 1 Diabetes; Age Under 21 Years

Type 1 Diabetes; Age 21 Years and Over; Eligible Concessional Status; High Clinical Need

Type 1 Diabetes; Pregnancy Planning, Pregnancy or Immediately Post Pregnancy

‘Other’ Eligible Conditions; Age Under 21 Years

If the individual needs to change their device, withdraw their access to CGM through the NDSS, or no longer meet the criteria, you will need to complete and certify a CGM ‘Update or Termination’ form, available below.

Continuous Glucose Monitoring Update or Termination Form

Product Order Forms

The NDSS gives your patients access to a large range of subsidised products that help them to affordably self-manage their diabetes. These products include:

  • subsidised blood glucose testing strips
  • subsidised urine testing strips
  • free insulin syringes and pen needles (if you require insulin or an approved non-insulin injectable medication)
  • subsidised insulin pump consumables (for approved persons with type 1 diabetes and gestational diabetes)
  • continuous glucose monitoring products (for approved persons with type 1 diabetes and 'other' eligible conditions).

All forms are available here.

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