Special Needs Solutions

Treatment Bench

Use the Treatment Bench graphic below to fill in the needed measurements and information.
Then simply hit "Submit." We will let you know that your order has been received.
If you have any questions, call or email us.

Measurements for Treatment Bench

Person recommending equipment

First Name

Last Name

Your Name

First Name

Last Name

Email

Phone

(###)

###

####

Client's Name

First Name

Last Name

Client's Birthdate

A - bench depth

B - bench width

C - bench (starting) height

Adjustable Height?

Yes

No

Padded?

No

Yes

Vinyl color preference (if padded)

Special Instructions