Forms

Below is a list of forms that are available for download. Simply click on the designated link.

 

Prescriptions

Basic/Generic
Manual Wheelchair 
Power Wheelchair
PT/OT Evaluation
Repairs
Seating & Mobility Evaluation Form

 

Maintenance

Manual Wheelchair Maintenance Guide
Power Wheelchair Maintenance Guide
Wheelchair Maintenance Guide

 

RESNA Position Papers & Guides

Application of Tilt, Recline and Elevating Legrests
Application of Power Wheelchairs for Pediatric Users
Application of Seat-Elevating Devices
Application of Wheelchair Standing Devices
Application of Ultralight Manual Wheelchairs
Development & Approval of RESNA Position Papers on Clinical Practice
Position on Wheelchairs Used as Seats in Motor Vehicles
Wheelchair Service Provision Guide

 

Funding

Medicare DME Investment Case Study

 

Other

Patient Measurements

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"I have been a wheelchair user since 1988. A hit and run automobile accident left me a quadriplegic. At the time, I was working on my bachelor's degree at UCI. I was in acute care at Mission Community Hospital and did my rehabilitation at Casa Colina.

After rehabilitation, I returned back to school and finished my degree in psychology. I then received my Master's in counseling psychology and then got my doctorate in clinical psychology. Along the way, I met my soul mate, had an extraordinary service dog, and started driving to enhance my independence.

Music, and going to concerts (literally hundreds of them), is a hobby of mine. Experiencing everything I possibly can in life is a drive and passion! "

-Larry Singer