In order to ensure that your wheelchair will sufficiently fit in your converted vehicle, we need for you to fill out the following quantifier form. We know there are a lot of questions, but they are all important in determining a correct fit. Use the example graphics below for items marked A-N. You’ll also need to attach a picture of the person in their power chair at the end of the form.
If you’d like to download the worksheet to print out, click here.
* = Required Fields