Online order form

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DECEMBER/ JANUARY ORDERS ARE TO BE SUBMITTED BY DECEMBER 1ST. ORDERS AFTER THIS DATE CANNOT BE GUARANTEED TO BE PROCESSED, DISPATCHED AND TO REACH YOU BY CHRISTMAS.

NO ORDERS WILL BE PROCESSED IN JANUARY

We recommend using your laptop/ desktop when ordering. Some mobile devices encounter an error when completing the form. If you continue to encounter an error please check your browser settings.

Note: when ticking the two month order box, you must order the supplies you require for two months. The Association does not ‘double your order’. Ticking the box simply allows the system to accept up to two month maximum supply.

By submitting this order, consent is given to ACT & Districts Stoma Association to verify your Medicare
information with Services Australia. You also confirm that all products provided through the
Stoma Appliance Scheme are for own personal use.