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Wheelchairs Mobility Solution in San Diego & Orange County
Electric Power Wheelchairs by Access Medical Rehab

       

Serving San Diego - Orange - Riverside & LA Counties | 760-929-2828

Forms

Please click on the links below to download the following forms:

AMI Referral Form.pdf

Equipment Prescription.pdf

ICD-9 Codes List.pdf

Patient Intake.pdf

PT Evaluation Prescription.pdf

Seating & Mobility Evaluation.pdf

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