Request A Quote

Request A Quote

Thank you for giving us the opportunity to serve you in your Seating and Positioning Wheelchair needs. We look forward to answering all your questions regarding individual needs in size, options available and affordability.

Customer Contact Information


Which chair are you interested in?

Additional Information

In order to ensure proper fit for each user, please provide the following measurements:
Mobility Status
Please give us any helpful details that would affect posture and weight distibution ex: heavy in hips, most weight in center, extra tall, etc.
Anything else we can help you with?
This field is for validation purposes and should be left unchanged.