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GENTLE FORM BACK
Online quote form
Custermize & Buy
STANDARD SIZES
Please select Option
SHUS16 Gentle Fit Back 16" x 18"
SHUS18 Gentle Fit Back 18" x 18"
SHUSBCW Form Fit Back - Gentle Lateral Custom Width (heigth = 18")
SHUSBCW Form Fit Back - Gentle Lateral Custom height
SHUSC Form Fit Back - Gentle Lateral Custom
Gentle Fit Back Custom Width:*
Gentle Fit Back Custom Width:*
Please select Option
16"
18"
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?
Please select Option
SHUSP1 1" Long Pins
SHUSP34 3/4" Long Pins
(Standard)
COVER OPTIONS
Please select Option
SHUSCOV1 Standard
SHUSCOV2 TEK4 Infection Control Complete Cover
SHUSCOV7 TEK4 Infection Control 4" Bottom Protector
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:*
Please select Option
Standard
TEK4
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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