Reapplication for receiving an assistive device (AD)

Published: 30 April 2026

When can one reapply?

One can reapply for receiving an assistive device (AD) in the following cases:

Expiration of the assistive device usage term

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Change in health condition
If the type or severity of functional impairment has changed and the existing AD is no longer suitable.
The assistive device has become unusable
If a specialist or service provider has determined that the AD is no longer usable (does not apply to intentional damage or improper use).
Change in body dimensions
If due to changes in body dimensions, the previously received assistive device can no longer be used comfortably or safely.

What documents are needed for reapplying for an AD?

The application process is the same as for the first time, adding the documents listed below.

Required documents

Introduction To apply for receiving an assistive device, specific documents are required. Here you will find information on what needs to be submitted and who prepares them.

Opinion for receiving an assistive device:

The opinion is prepared in the E-health system by:

a family doctor,
or the treating physician,
or a certified specialist (occupational therapist, physiotherapist, technical orthopedist, audiologist).

Application for receiving an AD

The application must be filled out, signed, and submitted to the Vaivari Technical Aids Centre.

If the application is signed by an authorized person, a copy of the authorization must be attached.

When can one reapply? One can reapply for receiving an assistive device (AD) in the following cases: 1. The usage term of the assistive device expires • The specified time has passed, after which one can apply for a new AD. • Example: the doctor writes that you can use the wheelchair for 5 years. When these 5 years end, you can apply for a new wheelchair. 2. Change in health condition • The type or severity of movement disorders has changed. • The existing AD is no longer suitable. • Example: previously you could walk with a cane, but now you need a walker. Then you can apply for another AD. 3. The assistive device becomes unusable • A specialist or service provider states that the AD is no longer safe or usable. • This does not apply to cases where the assistive device is intentionally damaged or used improperly. • Example: the frame of the wheelchair is cracked, and the specialist says it should no longer be used. 4. Change in body dimensions • The body has grown or shrunk, and the assistive device is no longer comfortable or safe. • Example: a child outgrows orthopedic shoes, and they pinch or rub. --- What documents are needed for reapplying for an AD? The application process is the same as for the first time. The same documents must be submitted. Required documents 1. Opinion for receiving an assistive device • The opinion is prepared in the E-health system: – a family doctor, – or the treating physician, – or a certified specialist: • occupational therapist (helps adapt the daily environment and assistive devices), • physiotherapist (helps with movements and exercises), • technical orthopedist (helps with orthoses, prostheses, special shoes), • audiologist (helps with hearing and speech). 2. Application for receiving an AD • The application must be filled out, signed, and submitted to the Vaivari Technical Aids Centre. • If the application is signed by another person (authorized person), a copy of the authorization must be attached. • Example: if a person cannot sign the documents themselves, a relative does it with the authorization.

Documents for urgent cases (if applicable)

If TPL is needed urgently, an additional document must be attached to the application that certifies this right.

Depending on the situation, it may be:

First-time functional disorders – extract from the medical record or epikrisis (not older than 6 months)
Predictable disability – individual rehabilitation plan indicating urgency
Education at an educational institution – certificate from the educational institution (does not apply to care, protection, household and space adaptation assistive devices)
Employment relationships – employer's certificate (document not older than 1 month)
Self-employment / economic activity – taxpayer registration number and company name (does not apply to care, protection, household and space adaptation assistive devices)

Documents for urgent cases (if needed) If you need TPL urgently, you must attach one more document to the application that shows you have the right to urgency. Depending on your situation, it may be: - If there are first-time functional disorders Attach an extract from the medical record or epikrisis. This document must not be older than 6 months. - If there is predictable disability Attach an individual rehabilitation plan with a note that it is urgent. - If you are studying at an educational institution Attach a certificate from the educational institution. This condition does not apply to care, protection, household and space adaptation assistive devices. - If you are in employment relationships Attach an employer's certificate. The document must not be older than 1 month. - If you are self-employed or conducting economic activity Attach the taxpayer registration number and company name. This condition does not apply to care, protection, household and space adaptation assistive devices.

Additional documents in certain cases

Some technical aids require additional documents.

Functional bed, anti-decubitus mattress or bed table

Required:

VDEĀVK opinion on the need for special care,

Document

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Oxygen concentrator rental for a chronic patient

A pulmonologist or cardiologist's opinion is required in E-health.

Detailed information is available in the menu: Procedure for receiving the oxygen concentrator

Long-term oxygen therapy at home

A pulmonologist or cardiologist's opinion is required in E-health.

Detailed information is available in the menu: Procedure for receiving the oxygen concentrator

CPAP / APAP therapy devices

Additionally, the following must be submitted:

a copy of the examination results with the AHI indicator.
The examination must be performed with polysomnography or polygraphy.

Assistive devices for sports

A confirmation from the Latvian Paralympic Committee is required for regular sports activities when applying for:

a bi-manual sports wheelchair,
an upper or lower limb prosthesis.

Conclusion Document submission

Once the documents are prepared, they must be submitted to the Vaivari Technical Aids Centre:

In paper format – signed by hand (originals)
Electronically – signed with a secure e-signature

For more information, see the section
Contact information available here