Booking Repairs

Contact us to service your equipment.

Please describe the equipment repairs you need. We come to you!

    YOUR DETAILS









    CLIENT DETAILS












    Client Measurements







    Client Measurement



    Wheelchair details

    (Note: this is only relevant if its an appointment for a wheelchair)

    Wheelchair type:

    Self propelledTilt in spaceManualMotorisedUser on right

    Controls:

    User on leftAttendent on rightAttendent on leftUser on the right

    Setup:



    LateralsPommelHip guidesPower add on

    Preferred Appointment date and time


    2nd Preferred Appointment date and time