Sunrise Medical P200 manual Account Information

Quickie P200 with Perfect Fit Seating

EIP2, Effective January 2006

ORDERING INFORMATION PHONE: (800) 456-8168 Opt 3, FAX: (800) 333-9011, WEBSITE: www.sunrisemedical.com

ACCOUNT INFORMATION

Account No: ________________________________________________

Date: ______________________________________________________

P.O. #: _____________________________________________________

Buyer: _____________________________________________________

Marked For: _________________________________________________

QUICKIE P200

	029PC1	K0011 Quickie P-200	$7,095.00
Frame Color
	029C2	Black	NC
	029C10	Black Opal	NC
	029C1	Blue	NC
	029C38	Blue Opal	NC
	029C12	Blue Velvet	NC
	029C36	Candy Blue	NC
	029C35	Candy Red	NC
	029C39	Candy Turquoise	NC
	029C6	Forest Green	NC
	029C4	Midnight Purple	NC
	029C37	Orange	NC
	029C5	Pearl Pink	NC
	029C40	Razzleberry	NC
	029C11	Toxic Green	NC
	029C8	Yellow	NC
Custom Colors
	029C41	Berry Vibrations	$250.00
	029C20	Graphite	$250.00
	029C15	Purple Chase	$250.00
	029C42	Stars & Stripes	$250.00
	029C43	Mossy Oak Camouflage	$250.00
Seat Height3
	029HT11	18-1/2" 5	NC
	029HT13	19-1/2" 6	$155.00
		ELECTRONICS
Joystick
	029J5	E2320 Qtronix Remote	NC
	029J4	E2320 Qtronix Remote w/ 1/8" Jacks 1	$160.00
Joystick Mount Hardware
	029JM1	Fixed Arm	NC
	029JM2	E1028 Swing Away Arm	$235.00
	029JM3	E1028 Center Mount Swing Away Arm	$235.00
Hand Mount
	029HM1	Right	NC
	029HM2	Left	NC
Height Adjustable Mount
	029HI01	Fixed Mount	NC
	029HI02	Adjustable Mount	$95.00
Joy Stick Handle
	029JH3	Stick Handle	NC
	029JH4	E2323 T-Handle	$75.00
	029JH1	E2323 Ball Handle	$75.00
	029JH2	E2323 Foam Ball Handle	$75.00

Drop Ship/Ship To: _____________________________________________

Name: ________________________________________________________

Address: _____________________________________________________

City:			State:_______________
Zip Code:____________ Phone Number:_________________________
			BATTERIES
Batteries
	136A48	E2363	Gp 24 Gel Cell (Pair)	$390.00
Battery Charger
	029BJ1		8 A Battery Charger Bench Top	NC
	029BJ1		8 A Battery Charger Compact	NC
	029BJ3		Omit Battery Charger	-$40.00
			DRIVE WHEEL
	029DW1		10" Mag Pneumatic	NC
	029DW2	K0093	10" Mag Pneumatic w/Insert	$240.00
	029DW10		12" Mag Pneumatic	NC
	029DW11 K0093		12" Mag Pneumatic w/Insert	$260.00
			CASTERS
Caster Wheel
	029CW21		8" Pneumatic	NC
	029CW20 K0097		8" Airless Insert	$125.00
			FOOTREST
Frame Mount Hanger2
	029H27		Swing Away	NC
	029H19	E0990	Elevating	$270.00
	029H32		Omit Hanger	-$15.00
Extension Tube2
	029E28		Swing Away	NC
Foot Plate
	029F1		Composite w/Heel Loops	NC
	029F3		Adult Angle Adjust w/Heel Loops	$210.00
		K0040	Angle Adjustable Footplate	$165.00
		E0951	Heel Loop	$45.00
	029F7		Omit Foot Plate and Extension Tube	-$15.00
Footrest Accessories
		K0038	Leg Strap, Black	$30.00
	029A110	E0952	Toe Loop 4	$45.00

FOOTNOTES:

1Two single switches required to operate both the on/off and mode select functions.

2Not available with Seat Mount Hangers

3Seat Height measured a 3° of Pre-Set Frame Angle

4Only available with adult angle adjustable footplates.

5Extension tube range from seat to footplate is 14" to 18" with Frame Mount Swing-away Hangers.

6Extension tube range from seat to footplate is 15" to 19" with Frame Mount Swing-away Hangers.

PROPER USE OF HCPCS CODES DOES NOT ENSURE COVERAGE OR PAYMENT. FOR COVERAGE INFORMATION , VERIFY THE APPROPRIATE PAYER'S COVERAGE POLICY.

Specifications are subject to change without notice. Copyright @ 2005, Sunrise Medical. (7.05) Quickie P200 W/ PF - Page 1 of 4 100551 Rev. A.