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Richmond
Product Type:
Comm. Loan Library
Comm. Loan Library > Richmond Area Only
Roanoke
Product Type:
Comm. Devices & Switches
Hampton Roads
Accent 1000
00,00
00,00
Product Type:
Comm. Loan Library
Comm. Loan Library > Hampton Roads Only
Hampton Roads
Accent 800
00,00
00,00
Product Type:
Comm. Loan Library
Comm. Loan Library > Hampton Roads Only
Roanoke
Accessible Desk
00,00
00,00
Product Type:
Therapy Equipment
Hampton Roads
Product Type:
Therapy Equipment
Hampton Roads
Product Type:
Comm. Devices & Switches
Richmond
Product Type:
Bathing & Toileting
Roanoke
Product Type:
Comm. Devices & Switches
Hampton Roads
Product Type:
Adaptive Seating
Therapy Equipment
Hampton Roads
Product Type:
Walking Aids
Richmond
Product Type:
Recreation
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Parent/Guardian Info

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Therapist Info

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Child Info

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Other Info

Why did you choose to obtain an AT device/service from our program?
What type of insurance does the child have?
Has the requested equipment been denied by Insurance?
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Family Income Range
Is this child currently a client of the Department of Aging and Rehabilitative Services (DARS)?
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The primary reason for which the child and family needs an AT device or service is related to:
Will equipment be used at home, school or both?
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