Please provide as much information as possible so we can provide the best solution for your client. If you need assistance, please call us on (03) 9584 9777. All details are stored securely as per our privacy policy.
Our Assessment ProcessThe assessment will be conducted by our clinically trained product specialist and takes around 60 minutes.Due to the technical nature of this equipment and the variations and adjustments often required we advise it is best to attend our facility in Mentone. We do have the ability to book appointments at the client's address when required.
It will include:
Your Details
Product User / Client Details
Product User / Client Contact Details
Complete these details if we need to contact someone for access or notice e.g. family member, group home carer etc.
Chair Usage Details & Requirements
Client's Measurements
Please refer to the diagram below as a guide for these measurements. Provide details in cms.
Equipment Features Required
Please nominate two preferred dates and times below.