Medical Cooling Form for Registering Life Support Equipment
By completing and returning this form to us, you will be satisfying the regulatory requirement to provide Brighte with a copy of this medical cooling form.
How to complete this form:
- Complete Section 1 and sign and date it.
- Request a medical practitioner to complete Section 2 and make sure they sign and date it; and
- Return the form to us by the (insert date) which is 50 business days from the issue date of this letter by either
- Mail it to: Level 15, 1 Margaret St, Sydney NSW 2000; or
- Scan and email it to email@example.com.
Please check all sections of the form have been completed, signed and dated before you send it back to us. You can request more time to complete and return this form by calling us on 1300 274 448