Chair Back Solid. Chair Back. Chair Back. Chair Back

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Seats and Backs

Seats and Backs Solid Up to 14 x 14... 0625 Up to 18 x 18... 062501 Up to 22 x 22... 062502 I-Modification Up to 14 x 14... 06258 Up to 18 x 18... 062510 Up to 22 x 22... 062511 T-Modification Up to 14 x 14... 062512 Up to 18 x 18... 062513 Up to 22 x 22... 062514 Contoured Up to 14 x 14... 062591 Up to 18 x 18... 06259 Up to 22 x 22... 062592 Phone: 888.928.7297 Fax: 815.464.3576 10

BI-Angular Seats and Backs Up to 14 x 14... 0631 Up to 18 x 18... 063102 Up to 22 x 22... 063103 3 Plane BI-Angular Up to 14 x 14... 063106 Up to 18 x 18... 063107 Up to 22 x 22... 063108 Back Options Curved...40101 Adjustable Lumbar... 06261 Additional Row of T-nuts...06181 Embroidery...0586114 Dartex, Black... 06321 Neoprene, Black... 0586101 Vinyl Color... 0640PN29 Foam Alteration Additional HR Foam... 0638 Ethafoam...0639 SunMate... 0615 Visco Foam, Yellow...058011 Visco Foam, Pink...058012 Visco Foam, Blue...058013 Visco Foam, Green... 058014 Alter the type of foam used in your back. (1 increments) www.richardsonproducts.com Over 20 Years of Service 11

Seats and Backs Chair Seat Solid Up to 14 x 14... 0610001 Up to 18 x 18... 061002 Up to 22 x 22... 061003 Chair Seat I-Modification Up to 14 x 14... 0610013 Up to 18 x 18... 0610014 Up to 22 x 22... 0610015 Chair Seat T-Modification Up to 14 x 14... 0610016 Up to 18 x 18... 0610017 Up to 22 x 22... 0610018 Chair Seat Contoured Up to 14 x 14... 061007 Up to 18 x 18... 061008 Up to 22 x 22... 061009 12 Phone: 888.928.7297 Fax: 815.464.3576

Chair Seat Anti - Thrust Seats and Backs Up to 14 x 14... 061004 Up to 18 x 18... 061005 Up to 22 x 22... 061006 Seat Options Frame Notches... 06121 Additional Row of T-nuts...06181 Embroidery...0586114 Dartex, Black... 06321 Neoprene, Black... 0586101 Vinyl Color...0640PN29 Foam Alteration Additional HR Foam... 0638 Ethafoam...0639 SunMate... 0615 Visco Foam, Yellow...058011 Visco Foam, Pink...058012 Visco Foam, Blue...058013 Visco Foam, Green... 058014 Solid Seat Insert Alter the type of foam used in your seat. (1 increments) Material: HDPE Note: Please provide dimensions when ordering. 1/2 Up to 14 x 14...05701 1/2 Up to 18 x 18...05702 1/2 Up to 22 x 22...05703 3/4 Up to 14 x 14...05704 3/4 Up to 18 x 18...05705 3/4 Up to 22 x 22...05706 www.richardsonproducts.com Over 20 Years of Service 13

Seats and Backs Material: HDPE Solid Drop Base 1/2, 13 x 15... 056912 1/2, 13 x 17... 056914 1/2, 15 x 15... 056916 1/2, 15 x 17... 056949 3/4, 13 x 19... 056969 3/4, 15 x 19... 056967 3/4, 17 x 15... 056972 3/4, 17 x 17... 056968 3/4, 17 x 19... 056966 Back Side Phone: 888.928.7297 Fax: 815.464.3576 14

Custom Seating System Order Form Please complete the following: Measurements Company : Ordered By : Email : Phone : P.O. Number : Patient Name : Patient Measurements 1 2 Right Left web: www.richardsonproducts.com email: rpi@richardsonproducts.com phone: 888.928.7297 fax: 815.464.3576 Chair Construction 3 Right Left Rail Width : Seat Depth : 4 Back Style: Full Width Between Rails Seat Style: Full Width Between Rails 5 Right 6 Left A D B E C F E2617 Backs Seats Please select a Back/Seat and fill in all appropriate dimensions. E2609 N Q O R P S Solid T-Modification I-Modification Solid T-Modification I-Modification Bi-Angular 3-Plane Contoured Options Anti-Thrust Contoured *Solid, T-Mod, & I-Mod only Adj. Lumbar Curved Standard Backs/Seats: *Please see next page for standard materials and configurations. * Please see next page to specify any alterations. Notes : 36

Custom Seating System Order Form (page 2) Please complete the following: Alterations P.O. Number : Patient Name : Standard Back/Seat - ½" Wood Base - 1½" HR Foam - 2 Rows of T-nuts - Black Vinyl Cover **This drawing shows the Standard Configurations for all backs or seats made by Richardson Products. To alter any of these measurements, please use the drawing to mark your own appropriate dimensions. web: www.richardsonproducts.com email: rpi@richardsonproducts.com phone: 888.928.7297 fax: 815.464.3576 Basic Alterations Back Seat Frame Notches (std = 1"x1") 3rd Row of T-nuts Mounting Hardware - Standard 8º angle between planes on Bi-Angular and 3-Plane Backs - Standard 45º angle foam taper on Anti-Thrust and Contoured Seats K0108 Fixed Drop: Back Seat 0" 1" 1½" 2" 3" Fixed Lift: Cover Alterations Back Seat Foam Alterations Back Seat Back Seat ½" 1" 1½" Dartex (cloth) Dartex (rubber) Neoprene Vinyl Embroidery Additional HR foam Memory Foam, med-soft Visco, yellow Visco, pink Visco, blue Visco, green Ethafoam Adjustable: Back Seat J Hook- 2 hole J Hook- 4 hole J Hook- 6 hole J Hook- 8 hole 90º- 2 hole 90º- 4 hole 90º- 6 hole 90º- 8 hole Notes : 37

Custom Seating System Order Form (page 3) Please complete the following: Accessories P.O. Number : Patient Name : Headrest Pads (page 16) soft curved- small soft curved- large soft curved- x-large molded- small molded- large headrest hardware E0955 E1028 web: www.richardsonproducts.com email: rpi@richardsonproducts.com phone: 888.928.7297 fax: 815.464.3576 Abductors (page 18) E0957 small medium large +E1028 Ankle Positioners (page 24) buckle small d-ring medium large E0951 +E0952 Chest Harnesses (page 22) male small female medium large fixed strap adjustable strap E0960 Ankle Straps (page 24) buckle 2" webbing camlock 1" webbing d-ring E0038 Chest Straps (page 23) 4" x 12" 4" x 15" 6" x 12" 6" x 15" E0960 Shoe Holders (page 19) small medium large E0951 +E0952 Torso Pads (page 17) small medium large E0956 Foot Boxes (page 19) one piece small two piece medium K0108 Lateral Brackets (pages 28-29) fixed swing-away E1028 large x-large Positioning Belts (pages 23-24) E0978 non-padded, 2 point padded, 2 point padded, 4 point 2" webbing 1½" webbing 1" webbing Hip Pads (page 18) E0957 8" 10" 12" 14" 16" 18" 20" Stump Supports (page 18) E0959 5" x 7" 7" x 10" Transfer Boards (page 20) 26" 29" 35" Trays (pages 4-5) ⅜" polycarbonate child ¼" polycarbonate junior wood teen adult x-wide 2x-wide E0705 E0950 38