Wheelchair Manufacturers in Canada | Wheelchair Canada

PERSONAL FIT BACK

Online quote form

STANDARD SIZES

Gentle Fit Back Custom Width:*

Gentle Fit Back Custom height:*

Gentle Lateral Custom:*

ADDITIONAL OVERLAYS

PFBOLV1 Visco Overlay Half (3 Pieces)

PFBOLV2 Visco Overlay Full (6 pieces)

PFBOLG1 Gel Overlay Half (3 Pieces)

PFBOLG2 Gel Overlay Full (6 Pieces)

PIN OPTIONS?

COVER OPTIONS

EXTRA COVER*

PFBCOV3 Standard Cover

PFBCOV4 TEK4 Infection Control Complete Cover

PFBCOV8 TEK4 Infection Control 4" Bottom Protector

PFBCOV5 Custom Cover

*Note: Please enter the size above for standard or custom cover

Custom Cover:*

Custom Cover sizes:* *Note: Please enter the size above for standard or custom cover

Additional Notes

Final Total

First Name*

Last Name*

Company Name:*

Phone Number:*

Official Work Email*
Location:*