Please scroll to the bottom of the form to submit. Please complete as much information as possible.
Once the form is submitted, it will be sent to one of our on-staff therapists for review. Our on-staff therapist will be in touch with you within 1 business day of submitting to discuss the correct product and sizing for your child.
GOOD FIT SIZING SERVICE IS FREE! Provide measurements and we will give you suggestions for the equipment you are looking for.
What kind of adaptive equipment are you interested in? Wheelchair, Stander, Walker, Stroller, Bath Chair, Car Seat...You decide and tell us! Complete the fields below and a therapist will email our best recommendations to you.
Please fill out the fields below.
Please provide more detailed information below. Measurements to the nearest ½ inch (1.25 cm) are acceptable.