If you or
someone you know would like to discover
if they qualify for a new power wheelchair
scooter to be paid for by Medicare or
private insurance .....
Just fill in
the form below and we will let you know right away!
or call us TOLL FREE at
It's as easy as
Give us your information below and the
required paperwork will be sent to your doctor to complete. You will
receives some brochures on our products as well as an insurance claim
form and other papers to sign. Choose the mobility product that you think
best suits your needs, then sign and mail all of the documents back in
the postage paid envelope provided.
We will contact you as soon as we have
received your paperwork and the qualifying paperwork from your doctor. Rest
assured...nothing will be shipped to you or billed to your insurance without
YOUR final approval!!
Once you have given your approval, we
will ship the mobility equipment to you fully assembled, and bill your
That's all there is
complete and submit this form onlineor.......