CLIP BUGGY (NHS WCS)

MEDWAY HOUSE
277 Gillingham Road, Gillingham, KENT ME7 4QX
Tel : 01634 578881 Fax : 01634 581456
email : [email protected]
Website : www.ineedawheelchair.co.uk
Mar-13
CLIP BUGGY (NHS WCS)
Client Name:……………………………………………………………….
Date:…………………………
Contact Name:…………………………………………………………….
Address details for Estimate/Invoicing:
Part Number
Description
105390
Clip 1 – very small – silver frame
105393
Clip 2 – small – silver frame
105396
Clip 3 – medium – silver frame
105399
Clip 4 – large – silver frame
105341
817 right/left integral belts for Clip 1-2
105342
817 right/left integral belts for Clip 3
105358
817 right/left integral belts for Clip 4
105315
816 right/left side supports for Clip 1-2
105317
816 right/left side supports for Clip 3-4
107752
827 Footstraps for Clip 1-2
107753
827 footstraps for Clip 3-4
105343
835 Headrest for Clip 1-2
105382
835 Headrest for Clip 3-4
105452
853 Vest Harness for Clip 1-2
105453
853 Vest Harness for Clip 3-4
102384
102383
102488
102604
105314
105318
102584
105379
105333
105348
105329
102744
107772
PB007
PB009
102612
105454
105455
H009B
H010B
828 Chest Strap for Clip 1-2
828 Chest Strap for Clip 3-4
819 retractable Canopy for Clip 1-2-3
819 retractable canopy for Clip 4
825 Rain Cover for Clip 1-2
825 Rain Cover for Clip 3
825 Rain Cover for Clip 4
818 Thermic Cover for Clip 1-2
818 Thermic Cover for Clip 3-4
812 Wheels direction locks for Clip 1-2-3
812 Wheels direction locks for Clip 4
894 45° Pelvic Belt for Clip 1-2
894 45° Pelvic Belt for Clip 3-4
Padded belt
Padded belt
891 (4) fixing hooks for Clip
903 Five point Vest Harness for Clip 1-2
903 Five point Vest Harness for Clip 3-4
Dynamic Harness small
Dynamic Harness medium
Tel no:………………………..
Please Tick ()
MEDWAY HOUSE
277 Gillingham Road, Gillingham, KENT ME7 4QX
Tel : 01634 578881 Fax : 01634 581456
email : [email protected]
Website : www.ineedawheelchair.co.uk
Mar-13
CLIP BUGGY (NHS WCS)
Client Name:……………………………………………………………….
Date:…………………………
Contact Name:…………………………………………………………….
H011B
Dynamic Harness large
To enable the buggy to be set up correctly, please complete the relevant boxes below
A
B
C
D
E
F
G
H
I
Pelvic width
Seat depth
Footrest height
Shoulder height
Thoracic pad height
Thoracic pad width
Ramp length
Knee centres
Sacral pad height
Measurement Chart
F
D
E
A
I
H
G
B
C
This quotation is valid for 30 days only
ENGINEERING FOR A CARING WORLD

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