Caravaggio 70 Hi/Lo seat

$0,00
$00,0
SKU:
10101112045889
Items available:
0
High-Low chair that appears to be custom molded
  • For children about 12 months to 2 years old
  • Seat width 6" in the back & 9" in the front
  • depth 8"
  • back height 10"
  • footrest length 6" (adjustable)
Seatbelt, headrest, foot plate, tray (velcro interface) Equipment must be recommended by a therapist.
Request Equipment
Buy now
Free shipping over $50

Your Request

Product Title
Option 1 / Option 2 / Option 3
Subscription Plan Info
Product Discount (-$0)
COUPON1 (-$0)
$0
$0
No Products Selected
Enter discount code
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Coupon1
Coupon2
Continue Browsing Equipment
The below information is required for our record keeping and equipment fitting purposes.

Parent/Guardian Info

Parent/Guardian Name
Parent/Guardian Phone
Parent/Guardian Email

Therapist Info

Therapist Name
Therapist Phone
Therapist Email

Child Info

Child Name
Race
Age
Height
Weight

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?
Persons in Household
Family Income Range
Is this child currently a client of the Department of Aging and Rehabilitative Services (DARS)?
Diagnosis
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?
Which of the following reflects your level of satisfaction with this means of obtaining needed equipment?
Order Notes (optional)

Please Note:

The fields above are required to complete your equipment request. We also require a signed Equipment Release Form to process your request. Please sign the Equipment Release Form at the button below.

Equipment Release

Please Read and Sign before submitting your request.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Subtotal
$0
COUPON2
-$0
Order Discount
-$0
Cart Total
$0