Until there's a cure ... there's care

  • All requests for equipment from MND Victoria are now to be submitted electronically via the form contained in the link below.
  • MND Victoria no longer accepts requests via email.
  • Upon submission of the form, you will receive an automated confirmation of submission with a copy of the submitted form to the email address you provide. If you do not receive this email, which may take up to 30 mins, please contact us: This email address is being protected from spambots. You need JavaScript enabled to view it. or 03 9830 2122
  • You will receive a second email from us within 3 working days to advise whether we have been able to accept and wait list your request.
  • The electronic form should work across all browsers, but if you browser is significantly out of date it may cause an error when you attempt to submit the form. If this occurs, please first try updating your browser to the most recent release before contacting us to advise of the error.

Fill in the online Equipment Request Form