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GENTLE FORM BACK

Online quote form

Custermize & Buy

STANDARD SIZES

Gentle Fit Back Custom Width:*

Gentle Fit Back Custom height:*

Gentle Lateral Custom:*

ADDITIONAL OVERLAYS

SHUSOLV1 Visco Overlay Half (3 Pieces)

SHUSOLV2 Visco Overlay Full (6 pieces)

SHUSOLG1 Gel Overlay Half (3 Pieces)

SHUSOLG2 Gel Overlay Full (6 Pieces)

PIN OPTIONS?

COVER OPTIONS

EXTRA COVER*

SHUSCOV3 Standard Cover

SHUSCOV4 TEK4 Infection Control Complete Cover

SHUSCOV8 TEK4 Infection Control 4" Bottom Protector

SHUSCOV5 Custom Cover

*Note: Please enter the size above for standard or custom cover

Custom Cover:*

Custom Cover sizes:* *Note: Please enter the size above for standard or custom cover

Additional Notes

Final Total

First Name*

Last Name*

Company Name:*

Phone Number:*

Official Work Email*
Location:*

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Welcome home!
Hours of Operation:
Monday - Friday
07:30 - 17:00

General

Wheelchairs

Super TIlt Plus (STP)

Seating & More!

Need Help?

Telephone (519)-763-9976

Fax (519)-837-1832

csr@powerplusmobility.com

50 Malcolm Rd
Guelph, Ontario
N1K 1A9 Canada

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GENTLE FORM BACK

Online quote form

Custermize & Buy

Join our newsletter to keep updated with FREE training and giveaways! If you wish to schedule a free

Join our newsletter to keep updated with FREE training and giveaways!
If you wish to schedule a free