Special Needs Solutions

High Chair — High Chair

Use the High 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.

High Chair Measurements — Measurements for High 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 - seat to top of thigh

G - shoe length

Belly Circumference

Desired Chair Width

Desired Back Height

T - floor to table underside/skirt

t -floor to top of table

Vinyl Color - first and second choice

Seat Belt

Yes

Abductor

Yes

Tray

Yes

Special Instructions