HowdaHug – PGD 023

January 14, 2012

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in Assistive Technology Exchange Program, Positioning Devices, Uncategorized

HowdaHug – PGD 023

 

 TO REQUEST this item, download and complete the Assistive Tech Exchange Program Referral in full, including all required signatures. A medical professional such as, but not limited to, a physician, physician assistant, occupational and physical therapist, nurse, medical case manager or social worker MUST sign the referral form. 

Individuals cannot receive any piece of equipment without the consent of one of the medical professionals listed above.

Once the request form has been filled out and signed, contact Sara Agnew, Outreach & Referral Coordinator, to set up a time to retrieve the item. The Assistive Tech Exchange Program Referral must be filled out in full at the time of pick-up.

Sara Agnew can be reached by e-mail at sagnew@bcfr.org or call her at (573) 874-1995, ext 160.

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If you ONLY have a question about this item, fill out the information below. 

 

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