Special Needs Solutions

Corner Chair — Corner Chair

Use the Corner Chair 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 Corner Chair

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 - seat to top of shoulder

B - seat to armpit

C - seat to 90 degree elbow

D - floor to back of knee

E - seat back to back of knee

F - length of shoe

Shoulder Width

Belly Circumference

Desired Back Height

Vinyl Color - first and second choice

Foot Placement

Seat Belt

Yes

Abductor

Yes

Special Instructions