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Rental Agreement180 Center St. #5PO Box 2586 Jackson, WY 83001 Phone 3072006222 Toll Free 8884062042Fax 8774681214Patient Information: Name ___Start Date ___/ ___ / ___ #of Days ___Phone___ DOB ___/___/___Stop
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01
Contact the medical supply company to place an order for a knee walker with delivery.
02
Provide your contact information, including your name, address, and phone number.
03
Confirm the date and time for delivery of the knee walker.
04
Ensure that someone will be available to receive the delivery and demonstrate how to properly use the knee walker.
05
Sign any necessary paperwork and payment information upon delivery.

Who needs knee walker with delivery?

01
Individuals who have sustained an injury or undergone surgery that affects their mobility and require assistance getting around.
02
Patients recovering from a foot or ankle surgery who are unable to bear weight on the affected leg.
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A knee walker with delivery is a mobility device that assists individuals in moving around without putting weight on their injured leg or foot.
Individuals who require a knee walker with delivery for medical reasons are required to file for it.
To fill out a knee walker with delivery form, one must provide necessary personal information and medical details.
The purpose of a knee walker with delivery is to help individuals with mobility issues move around comfortably and safely.
Information such as personal details, medical diagnosis, and the duration of need for the knee walker must be reported.
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