Sanivy Independent — custom supply

Need more than 3 pull-ups per day?

Independent supplies above 3 pull-ups per day are reviewed manually so Sanivy can confirm the right quantity, pricing and subscription setup before activation.

Name

Phone

Delivery address or suburb

Who is this request for?

Preferred pull-up size

Approx. pull-ups per day

Funding pathway (if relevant)

Additional comments

Please only include supply, sizing, delivery or ordering information. Do not enter unnecessary medical, diagnostic or NDIS information here.

Privacy

Sanivy will use the information provided in this request to review and organise the requested continence supply, contact the relevant people about the request, and coordinate payment or provider arrangements where applicable.

Information may be shared only with service providers or organisations reasonably required to process the request, such as the nominated provider, plan manager, payment provider, warehouse or delivery provider, where relevant to the arrangement.

Please only provide information needed to organise the supply. Do not include medical records, diagnostic reports, detailed medical history, NDIS plan documents, NDIS numbers, medication lists, clinical reports or other unnecessary sensitive health information in notes or free-text fields.

Standard plans run as a 28-day supply and recur every 28 days under the applicable subscription terms.