ProForm 30755 Manuel d'utilisateur télécharger pdf (Page 10)

Ministry of Health and Long-Term Care

Assistive Devices Program

Product Catalogue

Mobility Devices

Effective From: 2011-Jun-13

Seating

Device Type Manufacturer Device ADP Code Max

Allowed

Qty.

ADP

Approved

Amt.

Back Support

Adaptive

Equipment

Systems

(Aes)

Quick-Fit Contour/Bi-Angular Solid

Back Insert,

Incudes T-Nuts.

SEB2L1030 1 $602.00

Sculptured Solid Back Insert, Includes

T-Nuts.

SEB2L1035 1 $999.00

Sculpturefit Back W/Attaching

Hardware, Custom.

SEB2L0015 1 $1,236.00

Solid Back Insert Package, Li'L Kiddos,

14" Wide Or Less.

SEB2L0020 1 $733.00

Solid Back Insert Package, Li'L Kiddos,

Contoured, 14" Wide.

SEB2L0025 1 $898.00

Solid Back Insert, Includes T-Nuts, Li'L

Kiddos,

14" Wide Or Less.

SEB2L1010 1 $247.00

Solid Back W/Drop Hooks & Fixed Hold

Downs.

SEB2L0010 1 $267.00

Advanced

Mobility

Contoured Back SEBAO0040 1 $300.00

Deep "U" Back SEBAO0035 1 $340.00

Ez Back Basic SEBAO0060 1 $352.00

Ez Back System Complete SEBAO0055 1 $411.00

Pro Back Support SEBAO0065 1 $520.00

U Form Deep Contour Back Support SEBAO0050 1 $863.00

Amysystems Contour Back Support For Heavy Duty SEB4P0020 1 $956.00

Contour Back Support, Non-Standard

Sizes

SEB4P0015 1 $607.00

Contour Back Support, Standard Sizes SEB4P0010 1 $513.00

Broda Back Pad SEBB-0010 1 $67.00

Custom

Fabricated

Back With Permanent Lateral Supports,

Vinyl Cover,

Without Mounting Hardware

SEBCF114L 1 $650.00

Complex Indirect Molded Back,

Without Cover And Mounting Hardware

SEBCF118L 1 $1,460.00

Complex Molded Back (Foam In Place),

Without Cover And Mounting Hardware

SEBCF117L 1 $1,301.00

Contoured Back (Foam On Rigid Base),

Minimal Trunk Support,

Vinyl Cover, Without Mounting

Hardware

SEBCF112L 1 $500.00

Custom Contoured Back, Moderate

Trunk Support,

Vinyl Cover, Without Mounting

Hardware

SEBCF113L 1 $780.00

Custom Shaped Sculptured Back,

Includes Cover,

Without Mounting Hardware

SEBCF115L 1 $950.00

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ProForm 30755 Manuel d'utilisateur Page 10

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