Wheelchair work order and Service Request forms.
|Wheelchair Issue Form||This for is to be used for the issuance or assignment of a wheelchair to resident, staff or department for use from standard inventory.|
|Wheelchair Cancelation or Removal||This for is to be used for terminating the use or assignment of a wheelchair by a resident, staff or department.|
|Room Change||This form is to be used for changing room assignments or updating wheelchair location records, in an effort to keep information current.|
|New Wheelchair PO||This form is to request a wheelchair rental or purchase to accommodate a specific need.|
|Wheelchair Repair Request||This form is to request repair of a wheelchair currently assigned to a resident.|
|Wheelchair Equipment Change||This form is to request removal or addition of equipment mounted to a wheelchair currently assigned to a department, staff member or department.|