Forms

You can find all of our service forms here. If you require a form in another format, or if there is form you require that isn't listed below, please contact our friendly team on
(08) 9381 0600.

Request for Indigo Services

body only male in jeans and shirt checking wheelchair security on bruno lift

Indigo General Request Form (pdf)

366 KB

Goods, Equipment and Assistive Technology (GEAT) and Home Modifications Forms

GEAT General Request Form (pdf)

805 KB

GEAT Personal Alarm Request Form (pdf)

522 KB

Home Modifications Request Form (pdf)

227 KB

Equipment Hire forms

Shower chair with towel on back, adjustable shower head and wall handrails

Indigo Hire Booking Request Form (pdf)

611 KB

Driving Services Forms

Male in Indigo uniform standing next to male in driver seat of white car door open

OT Driver Assessment Referral Form (pdf)

390 KB

Driver Vision Screen Private Vehicle Driver (pdf)

237 KB

Indigo OT Driver Assessment Self Referral Form 2020 (pdf)

373 KB

Driver Vision Screen Commercial Vehicle Driver (pdf)

407 KB