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Patients Name: Lauri Date of Birth: 6282 Date: 81003 Powered Mobility and Positioning Evaluation Medical Justification for Equipment Identification of Need: Lauri is a 19-year-old female with diagnosis
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How to fill out sample Invacare TDX Teen:

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Sample Invacare TDX Teen is a power wheelchair designed for teenagers with mobility needs.
Parents or legal guardians of teenagers who require the use of the power wheelchair.
The sample Invacare TDX Teen can be filled out by providing the necessary information about the teenager's needs and mobility requirements.
The purpose of the sample Invacare TDX Teen is to provide mobility assistance and independence to teenagers with mobility limitations.
Information such as the teenager's medical condition, mobility requirements, and any specific adjustments needed for the wheelchair.
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