Age:
Condition:
No current device; however, the patient's medical condition requires tilt and/or recline features as well as a center mount elevating foot platform, and seating/positioning accessories.
The current device is not meeting the patient's requirements. The patient's medical condition now requires tilt and/or recline features, as well as a center mount elevating foot platform, and seating/positioning accessories.
The current device is old and not functioning properly. The motors are grinding and the device and its related accessories are worn out and falling apart.
The provider attests the patient and home have been evaluated, that the equipment requested is necessary, that the home environment is conducive to the safe and successful operation of the device.
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