Quickie Built-4-Me Option Examples - by Product & Segment
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- Stewart Roberts
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1 Adult Manual Quickie Ti Titainium (EIT3) Wheels C Xtender on Ti Titanium (rigid) Axles C Amputee axle plate on Ti Titanium (rigid) Frame modification C "-20" widths on Ti Titainium (rigid) Armrest modification C Height-Adjustable single post armrest on Ti Titainium (rigid) Quickie 2 (EIQ2) Frame modifications C " Seat Depth on Q2 C " Seat Depth on Q2 Backrest & Stroller handles C Receiver for removable stroller extension w/ standard backrest C Fold down push handles on Q2 C C C Reinforced Back tube, 19" /2" range Reinforced Back tube, 22-1/2" - 26" range Reinforced Back tube, 26" /2" range C Removable stroller handle extension with stabilizer bar & transit option O2 Holders C O2 holder, side frame mount, "D" Tank on Q2 Hangers C Hemi ALR assembly right side C Hemi ALR assembly left side C C Latch stud support, multi-position, right (Spika Clamp) Latch stud support, multi-position, left (Spika Clamp) Accessories & Misc options C Lift off ELR on Manual Quickie M6 (EIF1) O2 HOLDERS C O2 holder, side frame mount, "D" Tank on M6 10/14/2005 Page 1 of 5
2 Adult Manual (cont'd) Quickie LX / LXI (EILX / EI LXI) O2 HOLDERS C O2 holder, side frame mount, "D" Tank on LX Frame modification C "-20" Seat Depth on LX/LXI GP / GPV / GP S-A (EIGP70 / EIGPSA) Frame reinforcement C Heavy duty frame, 350lb capacity on GP S/A C C Heavy duty frame, 350lb capacity on GPV Heavy duty frame, 350lb capacity on GP Backrest modification C Integral push handles on GP Family Quickie GT (EIR3) Frame modification C Pediatric-sized, 10"-11" wide & 8"-10" deep on GT C Quick release push handles 10/14/2005 Page 2 of 5
3 Power Quickie Freestyle (EIPW8 / EIPW9) Vent tray components C Battery tray w/ Tilt (for Laptop style vent) C Center Mnt footrest with CG tilt option Quickie P220 / P222SE (EIPW3 / EIPW2) Front Hanger C Drop hanger weldment for flush position to seat pan Quickie S646 (EIS62) Backrest modification C Folding backrest on S646 Frame modification C Seat sling on S646, regular length, straight C Seat sling on S646, regular length, flared C Seat sling on S646, long length, straight C Seat sling on S646, long length, flared Quickie S525 (EIS52) Vent tray components C Vent & Battery tray, full size on S525 Quickie Z-500 (EIPZ) Vent tray components C Vent & Battery tray on Z /14/2005 Page 3 of 5
4 Pediatric Quickie Kidz (EIKZ) Backrest modification C Folding Stroller handles 20" tall Zippie IRIS (EIZ5) Vent tray components C U1 battery tray for 10"-11" wide on Zippie IRIS Zippie wheelchair (EIZP) Wheel locks C Side frame mounted attendant footlock assembly ZIPPIE TS (EIZ1 / EITS) Vent tray components C Vent & Battery tray for 10"-15" wide C Vent & Battery tray for 16" wide Quickie Z-500 (EIPZ) Vent tray components C Vent & Battery tray on Z-500 Quickie GT (EIR3) Frame modification C Pediatric-sized, 10"-11" wide & 8"-10" deep on GT 10/14/2005 Page 4 of 5
5 Positioning Quickie IRIS (EIZ4) Frame modification C "-24" wide frame on Quickie IRIS Front Hangers C Flared hangers support w/ 1" offset Backrest modification C "-22" Frame Depth with recline back Quickie TS (EIQT) Vent tray components C Vent & Battery assembly for 16" wide on QTS C Vent & Battery assembly for 17" wide on QTS C Vent & Battery assembly for 18" wide on QTS C Vent & Battery assembly for 19" wide on QTS C Vent & Battery assembly for 20" wide on QTS 10/14/2005 Page 5 of 5
October 2018 EIQ2X. Mark For: Submitting for: Quote Order. ADDITIONAL SHIPPING INFORMATION Dealer Contact: Price. Option # 1. FRAME 002RS1 002RS2
Quickie 2 October 2018 EIQ2X Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV:
Complement your Zippie with the JAY Zip Cushion and Back designed just for kids! Pediatric Wheelchair Portfolio
4 Complement your Zippie with the JAY Zip Cushion and Back designed just for kids! Pediatric Wheelchair Portfolio JAY Zip Back Versatile One Step Release Hardware Easy one step release Fits on wide range
Zippie GS. Growth System
Zippie GS Growth System Folds compactly for easy transport Growth system adjusts in width and depth to last kids a long, long time. Versatile design meets most functional needs. Crash Tested for safe bus
Zippie Family. Album
Zippie Family Album Why Zippie? Bright, busy kids are exciting. Everything they do revolves around their independence and their ability to fit in and be part of the gang. When you think of Zippie think
Zippie Family. Album
Zippie Family Album Why Zippie? Bright, busy kids are exciting. Everything they do revolves around their independence and their ability to fit in and be part of the gang. When you think of Zippie think
Tilt in space up to 60 degrees Comfort seating Max. user weight: 113kg. Height adjustable folding back Heavy Duty version 158kg
QUICKIE IRIS Invoice to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: E-Mail: E-Mail: Tel: Fax: Tel: Order date: Marked for: Purchase order: Number required: Sunrise order no: Base
Quickie IRIS January 2014
Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: ST: ZIP: Address: Dealer Phone: ( ) Fax: ( )
ZIPPIE IRIS (Chairs w/ S/N Prefix ZRS & ZRSE) PAGE 1
ZIPPIE IRIS (Chairs w/ S/N Prefix ZRS & ZRSE) PAGE 1 ZIPPIE IRIS (Chairs w/ S/N Prefix ZRS & ZRSE)... 7 BASE FRAME... 7 RIGID FRAME... 7 BASE FRAME & ROLLER ASSM prior to S/N ZRS-041800 & ZRSE-051100...
ZIPPIE FAMILY. all the activities children can enjoy. Each Zippie product is designed to be a simple-to-use and reliable support
ZIPPIE FAMILY When you think of Zippie, imagine all the activities children can enjoy. Each Zippie product is designed to be a simple-to-use and reliable support for the lifestyles of children. Zippie
ZIPPIE IRIS (Chairs w/ S/N Prefix PCG) PAGE 1
ZIPPIE IRIS (Chairs w/ S/N Prefix PCG) PAGE 1 Multimedia... 1 ZIPPIE IRIS (Chairs w/ S/N Prefix PCG)... 6 BASE FRAME... 6 FRAME... 6 BASE FRAME... 6 ROLLER ASSM... 8 FOOT RELEASE ZIPPIE IRIS (S/N prefix
For information on the Kid Kart Xpress, TLC, and Mighty Lite, please consult the Kid Kart Family Brochure.
ZIPPIE FAMILY When you think of Zippie, imagine all the activities children can enjoy. Each Zippie product is designed to be a simple-to-use and reliable support for the lifestyles of children. Zippie
Pediatric and Positioning Frames
Pediatric and Positioning Frames Base Frame (Quickie T45)... 2.1 Back Frame (Fixed Back Tilt) (Quickie T45)...2.2 Back Frame (Reclining Back) (Quickie T45)...2.3 Frame (Quickie TS)...2.4 Standard Rigid
Quickie IRIS FSS Net Order Form/Price List (SIN F-1)
Mark For: Date: Dealer Acct #: Dealer: Dealer Contact: Dealer Address: Dealer City: ST: Dealer Phone: ( ) Fax: ( ) Confirmation Email: Confirm Via: ZIP: Quickie IRIS FSS Net Order Form/Price List (SIN
Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
Phone 0800 5 Fax 0800 5 365 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Focus CR $ 36kg weight capacity. Tilt range: -5º anterior to 50º posterior. Effective /0/0 Ship To: Address:
QUICKIE IRIS (SN PREFIX IRS & IRSE)
PAGE 2 QUICKIE IRIS (SN PREFIX IRS & IRSE) Cover... 1 Multimedia... 1 QUICKIE IRIS (SN PREFIX IRS & IRSE)... 7 BASE FRAME... 7 FRAME... 7 BASE FRAME & ROLLER ASSM after S/N IRS-045100 & IRSE-057300...
BENTLEY. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a
STELLAR. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a
Frame. Backrest. Seat Depth. Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time free growth kit. 165 lb weight capacity.
Canada Patent Pending AADL #W157 Effective 10/01/2017 Company: Ship To: Account Number: Date: Quote PO Number: RTS: Marked For: Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time
FUZE T50. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a
q Little Wave Flip XP - Rigid Base KF-XPRIGID $
Phone 0800 5 222 Fax 0800 275 65 Effective /06/207 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Little Wave Flip XP - Rigid Base KF-XPRIGID $ 9.8kg weight capacity. One time free
QUICKIE IRIS (S/N PREFIX CGT )
PAGE 2 Cover... 1 multimedia... 1 PREFIX CGT)... 6 BASE FRAME... 6 FRAME... 6 BASE FRAME (S/N Prefix CGT)... 6 ANGLE INDICATOR... 8 ROCKER ASSM (S/N Prefix CGT)... 9 TILT STOPS (S/N Prefix CGT)... 11 ROLLER
ZIPPIE 2 (Chairs w/ S/N Prefix Z2A and some Z2 prefix's see frame pages for details) PAGE 1
ZIPPIE 2 (Chairs w/ S/N Prefix Z2A and some Z2 prefix's see frame pages for details) PAGE 1 PAGE 2 ZIPPIE 2 (Chairs w/ S/N Prefix Z2A and some Z2 prefix's see frame pages for details) ZIPPIE 2 - Z2A (Chairs
q q q q q q q q q q q q q q q q q q Frame q Titanium Frame K5-CAT5-TITAN $ Includes hangers and base frame. Does not include Cross Braces.
Funder: Order Number: Date: q Quote q PO Number: Therapist: Marked For: Catalyst 5 K5-CAT5-ALI 136kg weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth
ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1
ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1 ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE)... 7 BASE FRAME... 7 FRAME... 7 FRAME (RIGID) prior to S/N Z1A-038633 & Z1SE-013380...
ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1
ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1 PAGE 2 ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE)... 6 BASE
FUZE T20. Order Form - Canada Prices in Canadian Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a
STELLAR GL. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a
STELLAR. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a
Quickie IRIS March 2015
Quickie IRIS March 2015 EIZ4-2 Mark For: Date: Dealer Acct #: Dealer: Dealer Contact: Dealer Address: Dealer City: ST: Dealer Phone: ( ) Fax: ( ) Confirmation Email: PC Please address all correspondence
q Little Wave Flip XP-Rigid Base E1233, E1161 $
Funder: Therapist: Date: q MOH q ACC Marked For: Details: Ship To: Address: City: Postcode: Phone: Email: Notes: q Little Wave Flip XP-Rigid Base E1233, E1161 $ 74 kg weight capacity. Price includes one
ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N Prefix ZGSA & ZGSE) PAGE 1
ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N Prefix ZGSA & ZGSE) PAGE 1 PAGE 2 ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N Prefix ZGSA & ZGSE) ZIPPIE GS (ZGSA ZGSE)... 1 ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N
Quickie 2 January 2014
Mark For: Submitting for: Quote Order Date: Dealer Acct #: Dealer: Dealer Contact: Dealer Address: Dealer City: ST: ZIP: Dealer Phone: ( ) Fax: ( ) Address: Confirmation Email: Ship To City: ST: ZIP: Confirm
ZIPPIE IRIS (Transit Included) EIZ5A
ZIPPIE IRIS (Transit Included) EIZ5A MASS QLD ORDER FORM SUMMARY PAGE Effective: January, 2014 ORDERING INFORMATION: (02) 9678 6600 Fax: (02) 9678 6655 Email:orders@sunrisemedical.com.au Date: Sales Rep:
Custom Manual Options & ACCESSORIES AUSTRALIA 2013
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Quickie 2 EIQ2N Effective April 2011
Quickie 2 EIQ2N Effective April 2011 ACCOUNT #: SHIP TO: DATE: NAME: P.O. #: ADDRESS: BUYER: CITY/ STATE: MARKED FOR: ZIP CODE: PHONE NUMBER: The HCPCS codes provided are based on code verification by
BENTLEY. Order Form - AADL - W322 Prices in Canadian Dollars. October 1, W h e e l L o c k s. A n t i - T i p p e r s. B a c k P o s t S t y l e
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Tag Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a m e T y
Breezy 250. Strong and durable... Good looks... Complete range of models and accessories... Great warranty and after-sales service...
Breezy 250 Breezy 250 Strong and durable... Good looks... Complete range of models and accessories... Great warranty and after-sales service... Breezy 250 shown with non-standard options Strong and durable
FUZE T20. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Tag v.070118 Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a
Quickie GTX Fixed Frame EIF3, Effective July 2009
Quickie GTX Fixed Frame EIF3, Effective July 2009 Account No: Date: P.O. #: Buyer: Marked For: Drop Ship/Ship To: Name: Address: City: State: Zip Code: Phone Number: The HCPCS codes provided are based
Invacare Action 3 NG Transit Retail Max User Weight 125Kg (19.7 stone)
Manual Wheelchair Retail Prescription Form ACTION3NGTRANSIT10112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.co.uk Online Spares available at www.invacare.co.uk Customer Ref:
Quickie GTX Swing-Away FSS NET ORDER FORM/PRICE LIST (SIN F-1)
Account No: Drop Ship/Ship To: Date: Name: P.O. #: Address: Buyer: City: State: Marked For: Zip Code: Phone Number: Seat Depth (Continued) 163SD10 17" NC 163SD11 18" NC 163SD12 19" 1 NC Frame Style 163SD13
FUZE T50. Order Form USA. Please send your completed order form by to or by fax to
Page 1 of 5 Purchase Order Tag Dealer/Organization Name Purchaser Name and Contact Information Mailing Address Shipping Address Please send your completed order form by email to info@pdgmobility.com or
LIVE OUT LIMITS WITH ULTRA LIGHTWEIGHT. researched, tested and delivered. performance, and a customized build,
ULTRA LIGHTWEIGHT You want cutting-edge wheelchair technology to keep pace with the demands of your active life. For over 30 years, QUICKIE has listened, researched, tested and delivered. Through state-of-the-art
Quickie QM-7 Series. Live Without Limits. Available in Eight Group 3 and Group 4 Models:
Power Portfolio Live Without Limits The Quickie QM-7 series offers a high-performing, reliable, and stylish mid-wheel drive power solution for a client who qualifies for a Group 3 Standard (QM-710), Group
P O W E R C H A I R S
POWER CHAIRS Contents 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 S-646 SE S-646 S-525 P-222 SE P-220 P-200 Freestyle G-424 Z-500 V-521 V-121 V-100 Optional Controls Seating Options Power Matrix (Images)
ARMRESTS & RECEIVERS SINGLE POST NON-HEIGHT ADJUSTABLE ARMREST ADULT SINGLE POST ARMREST RECEIVER Z BOP ADJ LOCKING FLIP UP
ZIPPIE Z BOP PAGE 1 PAGE 2 ZIPPIE Z BOP ZIPPIE Z BOP... 5 BASE... 5 FRAME... 5 Z BOP POWER BASE FRAME... 5 Z BOP MANUAL CARRIER FRAME... 6 SHROUDS... 6 Z BOP - SHROUD... 7 MOTORS... 8 Z BOP MOTOR MOUNT...
Sling Position. Push Handle. q Omit Push Handles N/C q Standard Push Handles 53 q Fold Down Push Handles 80 q Bolt-On Push Handles 109
Effective 05/07/2014 Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: q Rogue XP 1825 Rogue Width Grow-able Frame. 275 lb weight capacity. Maximum initial : 16. q Rogue 1495 Rogue Standard
RX Kidz - Rear Side Frame
Title - 1 - Title - 2 - Table Of Contents ZIPPIE RX Kidz... 5 Frame Components... 5 RX Kidz - Rear Side Frame... 5 RX Kidz - Front Side Frame Outrigged... 6 RX Kidz - Front Side Frame Swing Away... 7 Cross
Alberta Health. AADL Approved Product List- Wheelchairs: Manual and Power Pricing effective October 1, 2017
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Quickie QX July 2017
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ULTRA LIVE OUT LIMITS WITH LIGHTWEIGHT. researched, tested and delivered. performance, and a customized build,
ULTRA LIGHTWEIGHT You want cutting-edge wheelchair technology to keep pace with the demands of your active life. For over 30 years, QUICKIE has listened, researched, tested and delivered. Through state-of-the-art
Seats and Slings IN THIS SECTION
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Quickie QM-7 Series. Live Without Limits. Available in Eight Group 3 and Group 4 Models:
Power Portfolio Live Without Limits The Quickie QM-7 series offers a high-performing, reliable, and stylish mid-wheel drive power solution for a client who qualifies for a Group 3 Standard (QM-710), Group
2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) Freedom 2 Kids
Freedom 2Kids Manual Wheelchair Date: Buyer: Company: Email: Quote Order PO# Location: Phone: Fax: Frame Options FD2K Folding Transport Optional (E1236) or (K0005) FD2K-30270 $2085 Note: Transportation
MEDmobility Calgary Trail NW Edmonton AB T6H 2K1 P: F:
Canada MEDmobility 5711- Calgary Trail NW Edmonton AB T6H 2K1 P: 780-437-3300 F: 780-430-9381 www.medmobility.ca Company: Account Number: Date: Quote PO Number: RTS: AADL #W154 Effective 10/01/2017 Ship
2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) PRO-CG. Adult Manual Wheelchair
PRO-CG Adult Manual Wheelchair email: customerservice@freedomdesigns.com TM SE Clear Form Email Form to Customer Service Date: Buyer: Company: Email: Quote Order PO# Location: Phone: Fax: Notice: A seating
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Alberta Health. AADL Approved Product List- Wheelchairs: Manual and Power Pricing effective October 1, 2017 Revised March 12, 2018
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2004 Medicare Billing Guidelines for Rehab Products
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Condor Script Form Folding Frame Day Wheelchair 90050
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2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) P.R.O. CG
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NXT Pediatric. Manual Wheelchair. Transport Optional Base
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Quickie QXi AADL. EIF6, October ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To City: Fax. Price 1. FRAME $2,
Quickie QXi AADL EIF6, October 2018 Mark For: Submitting for: Date: PO#: Quote Order Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City:
SALSA M. Salsa MWD. Base Price 4,733 STANDARD SEAT: FRAME / SEAT SIZE STANDARD SEAT: CUSHION JAY CUSHIONS JAY COMFORT SEAT
Invoice to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: Country: Country: Tel: Fax: Tel: Fax: Order date: Marked for: Purchase order: SALSA M Max. user weight: 140 kg
UNMATCHED PERFORMANCE. THE PROFESSIONALS BEST CHOICE IN FOLDING ULTRA- LIGHTWEIGHT ABILITY.
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Zippie Zone July 2018 EIRZ1
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Standard Base Price: 618
Manual Wheelchair Retail Prescription Form ACTION4NGHD11112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref: Contact
4.2 HELIO KIDS MODEL. Ultralight Folding Carbon Fiber HELIO KIDS Wheelchair Including angle & depth adjustable back (79 kg lbs weight capacity)
519, J-Oswald Forest, suite 101 Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 www.motioncomposites.com Account : PO : Vendor : CUSTOM TECHNOLOGIES LIMITED Date
Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA Sales: Phone: (866) Fax: (866)
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Mulitmedia... 1 QUICKIE IRIS
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Alberta Health. AADL Approved Product List- Wheelchairs: Manual and Power Effective October 1, 2018
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Kids Quickie 2 SE November 2012
a Mark Fr: Submitting fr: Qute Order Date: Dealer Acct #: Dealer: Dealer Cntact: Dealer Address: Ship T: Attentin: ST: Dealer Phne: ( ) Address: Fax: ( ) Cnfirmatin Email: Cnfirm Via: PO#: ZIP: Kids Quickie
QUICKIE S646 SE BD/SD/MPD No Power, Single Power & Multi Power Seating Option AADL - W579
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Adjustable Height Raised Toilet Seat Model 101 RTS Pricelist/Order Form December 2014
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Tilt & Recline Manual WC Reference Sheet
Stellar GL Stellar Fuze T Fuze T50 Bentley & Manual WC Sheet February 16 - Page 1 of 8 to Floor TILT WHEELCHAIR ONLY No ing Included or Quick Ship (less features than Full Feature Version) o Back 50 o
ZM-310. Table of Contents. Why Quickie? Compact Base with Serious Power! Positioning Options. Pediatric Seating
Power Portfolio Table of Contents Zippie ZM-310...2 Quickie QM-7 Series...3 Quickie Pulse Series...6 Quickie S-6 Series...8 Quickie P-222 SE...10 PG Drives Technology...12 Back Upholstery Options...12
Invacare Action 3 Junior Large Retail Max User Weight 80Kg (12.5 stone) Standard Base Price: 539 * Configurations may vary to the image shown
Manual Wheelchair Retail Prescription Form ACTION3JUNIORLARGE15112017 Tel: 01656 776222 Fax: 01656 776220 JAN 2018 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer Ref:
Aquatec. Ocean Family. Flexible, modular shower chair commode solutions
Aquatec Ocean Family Flexible, modular shower chair commode solutions A range of high quality, modular, stainless steel shower chair commodes that are designed to support a wide range of clients and conditions.
Standard Base Price: 539
Manual Wheelchair Retail Prescription Form ACTION3JUNIORSMALL19102018 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2019 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer
Invacare FOX (Modulite Seating System) Retail Max User Weight 127Kg (20 stone)
Power Wheelchair Retail Prescription Form FOXMOD210917 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk OCTOBER 2017 Customer Ref : Account
EASyS Made Simple Simply the best for children and parents
tride EASyS Made Simple Simply the best for children and parents It would be great if there were a rehab stroller that combined the most important functions in one easy step! Three Components = Simple
Optimise your fleet management. A choice of seven wheelchairs, created around one concept.
New X Family 2 Optimise your fleet management. A choice of seven wheelchairs, created around one concept. Highly flexible configurations make the chairs easy to reconfigure and reissue Interchangeable
Action 1NG. Invacare. Simple, robust and efficient!
Action 1NG Simple, robust and efficient! The Invacare Action 1NG, although made of steel, remains a lightweight wheelchair of exceptional quality. The rigidizer blocks, commonly used with the Action Family
NEW GENERATION POWER CHAIRS
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Life Family Find the one to suit your lifestyle
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This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. AADL CAT # 151.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada AADL CAT # 151 Effective 10/01/2018 Company: Account Number: Date: q Quote q PO Number:
Condor Script Form Folding Frame Day Wheelchair 90050
90050 To Order Fill in the frame dimensions and features required. For variations describe in detail on a separate page. If you have any further questions contact us at the address at the bottom of the
Quickie Smart Seat IN THIS SECTION
QUICKIE SMART SEAT Quickie Smart Seat Tilt/Recline Assembly (Smart Seat)...1.1 Seat frame -Tilt/Recline (Smart Seat)...1.2 Armrest - Recline (Smart Seat) (Smart Seat)...1.3 Recline Backrest (Smart Seat)...1.4
QUICKIE P222 SE BD/SD Solid Seat (No Power or Single Power Seating Options) EIPW2 - Effective January 2018
QUICKIE P222 SE BD/SD Solid Seat (No Power or Single Power Seating Options) EIPW2 - Effective January 2018 Account: Date: PO#: Buyer: Marked For: Ship To: Name: Address: City,State,Zip: Phone: The HCPCS
QUICKIE TANGO... 5 BASE FRAME... 5 BATTERY BOX... 5 COVERS... 6 MAIN FRAME... 7 MOTOR MOUNT & ANTI TIP... 8 SUSPENSION... 9 MOTOR...
Title - 1 - Title - 2 - Table Of Contents QUICKIE TANGO... 5 BASE FRAME... 5 BATTERY BOX... 5 COVERS... 6 MAIN FRAME... 7 MOTOR MOUNT & ANTI TIP... 8 SUSPENSION... 9 MOTORS... 10 MOTOR... 10 SEAT/BACK...
The Quickie Power X series is a family of Made in Canada power wheelchairs providing reliable mobility to thousands of Canadians since 2006.
The Quickie Power X series is a family of Made in Canada power wheelchairs providing reliable mobility to thousands of Canadians since 2006. CANADIAN-MADE POWER WHEELCHAIRS NEW GENERATION X series Power
Kids Quickie 2 SE January 2018 EIZ10
a Dealer City: ST: Dealer Phne: ( ) Fax: ( ) Cnfirm Via: ZIP: SUBMITTING FOR: Qute Order Fax Email Ship T Phne: ( ) Fax: ( ) Optin # HCPCS Definitin Price a Optin # HCPCS Definitin Price KIDS QUICKIE 2
Bariatric Folding Wheelchair - Minimaxx & Disc
2 2 Bariatric Equipment Folding Wheelchair Portering Chair Mobile Commode Shower Chairs Shower Chair & Commode Pa ent & High Back Chair Four Leg & Can lever Chair Rollator Walker & Training Suit 4 6 7