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Wheelchair Order Forms (In PDF format)

Freedom CGX™ - Transport Option Included (10/9/08)*
Freedom CGX™ - Transport Optional (10/9/08)*
Freedom CGX™ KD - Transport Option Included (10/9/08)*
Freedom CGX™ KD - Transport Optional (10/9/08)*
TriPod™ LT (2/9/07) 
TriPod™ LT - Pediatric (E1235) (4/13/07) 
Gizmo Tilt w/Transport Included (6/4/08)* 
Gizmo Tilt Transport Optional (6/4/08)* 
Gizmo Tilt SE Pediatric (5/15/08)* 
Gizmo Tilt SE Adult (6/4/08)* 
SP3 Mini (5/17/07) 
SP3 (5/17/07) 
Freedom 2 (5/17/07) 
Freedom 2 Kids (12/7/07) 

*NEW 4-page format
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Policies & Procedures ©2003