Therapist Check List


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Arriving Home, After Leaving Rehab or Facility!

  • Raised Toilet Seat
  • Ramps to access home
  • Grab Bars for bathroom
  • Hospital Beds & bed assists
  • Travel/Transport Wheelchairs
  • Sliding Transfer Bench for tub
  • Personal Telemergency Alarms
  • Tansfer boards wooden or plastic
  • Shower Chair with removable back
  • Standard Wheelchairs rental or Purchase
  • Walkers with 4 Wheels or standard 2 wheels
  • Evaluation of bathroom and living areas for safety

Print this page & have the therapist check off what your needs are & fax this to our office, you can email or call aswell.  In most cases we can have them delivered next day. Please provide Name address & Phone number to expidite your order.

Home Care Solutions

6 Liberty St.

Hawthorne, NY.10532

Ph:   914.747.2767

Fax: 914.747.2757

 

 

Name:__________________________________________________

Address:________________________________________________

City:________________________  State:_________ Zip:________

Contact:________________________ Ph: ___ ___ _____________