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Wisconsin Assistive Technology Initiative Polk Library 800 Alma Blvd Oshkosh, WI 54901 800-991-5576 or 920-424-2247 USED EQUIPMENT MARKETPLACE RELEASE OF INFORMATION FORM What is the Used Equipment
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How to fill out Wisconsin assistive technology rental?

01
Start by obtaining the necessary forms. Visit the official website of the Wisconsin Department of Health Services or contact your local disability resource center to obtain the required documents for the assistive technology rental program.
02
Read the instructions carefully. Take your time to understand the application process and the information you will need to provide. This will help ensure that you provide accurate and complete information.
03
Provide personal information. The application form will typically require you to provide personal details such as your name, address, contact information, and Social Security number. Make sure to fill out this section accurately.
04
Specify the assistive technology needed. Indicate the type of assistive technology you require for rental. This could include items such as mobility aids, communication devices, hearing aids, visual aids, or any other assistive devices necessary for your specific needs.
05
Provide supporting documentation. You may need to provide medical documentation or evaluations from healthcare professionals that substantiate your need for the assistive technology. Make sure to attach any required documents as specified in the application instructions.
06
Fill out the financial information section. Depending on the specific program, you may need to provide information about your income, assets, and expenses. This information helps determine eligibility for the rental program and any potential cost-sharing requirements.
07
Review and double-check your application. Before submitting your application, carefully review all the information you have provided. Make sure there are no errors or missing information that could delay the processing of your request.

Who needs Wisconsin assistive technology rental?

01
Individuals with disabilities: Anyone with a disability who requires assistive technology to enhance their independence, mobility, communication, or quality of life may need Wisconsin assistive technology rental. This program aims to support individuals with disabilities in accessing the assistive technology they need without the burden of ownership.
02
Caregivers and family members: Caregivers and family members of individuals with disabilities may also benefit from Wisconsin assistive technology rental. The program helps them provide adequate support and care for their loved ones by providing access to necessary assistive devices.
03
Healthcare professionals and service providers: Healthcare professionals and service providers who work with individuals with disabilities may need assistance technology rental to support their clients. This program ensures that healthcare professionals have access to the necessary assistive devices to provide comprehensive care and support to their patients.
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Wisconsin assistive technology rental refers to the program that allows individuals to rent assistive technology devices to help them with daily living activities.
Individuals who are in need of assistive technology devices for their daily living activities are required to file for Wisconsin assistive technology rental.
To fill out Wisconsin assistive technology rental, individuals need to provide information about the type of assistive technology needed, duration of rental, personal details, and any supporting documentation.
The purpose of Wisconsin assistive technology rental is to provide individuals with access to assistive devices that can improve their quality of life and independence.
Information such as type of assistive technology needed, duration of rental, personal details, and any supporting documentation must be reported on the Wisconsin assistive technology rental form.
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