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Manitoba Wheelchair Program 1857 Notre Dame Avenue, Winnipeg, Manitoba R3E 3E7 Phone (204) 9753250 Fax (204) 9753240 Toll Free 18008365551POWER WHEELCHAIR APPLICATION CATEGORY 5 PEDIATRIC AND ADULT
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How to fill out ultra-lightweight manual wheelchair application

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How to fill out ultra-lightweight manual wheelchair application

01
Obtain the application form from the wheelchair manufacturer or medical equipment supplier.
02
Fill out all personal information including name, address, contact details, and insurance information.
03
Provide details about your medical condition that necessitates the use of an ultra-lightweight manual wheelchair.
04
Attach any required medical documentation or letters from healthcare professionals supporting your need for the wheelchair.
05
Submit the completed application form to the designated authority for review and approval.

Who needs ultra-lightweight manual wheelchair application?

01
Individuals with mobility impairments who require a lightweight and easily maneuverable wheelchair.
02
People with conditions such as spinal cord injuries, muscular dystrophy, or cerebral palsy may benefit from an ultra-lightweight manual wheelchair.
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The ultra-lightweight manual wheelchair application is a form used to request a lightweight wheelchair for individuals who have mobility issues.
Individuals who need a lightweight wheelchair due to mobility issues are required to file the ultra-lightweight manual wheelchair application.
To fill out the ultra-lightweight manual wheelchair application, you need to provide personal information, details about your medical condition, and a prescription from a healthcare professional.
The purpose of the ultra-lightweight manual wheelchair application is to request a lightweight wheelchair to improve mobility and quality of life for individuals with mobility issues.
The ultra-lightweight manual wheelchair application requires personal information, details about the medical condition necessitating the wheelchair, and a prescription from a healthcare professional.
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