Invacare Standard and Heavy Duty Wheelchairs manual Product Registration Form, City State/Province

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Cut Along Line

PRODUCT REGISTRATION FORM

Register ONLINE at www.invacare.com - or -

Complete and mail this form

Name _______________________________________________________________

 

Address _____________________________________________________________

 

City ___________________State/Province __________

 

Zip/Postal Code ________

 

 

 

Email ___________________________________ Phone No. _________________

Fold

Invacare Model No. ______________________ Serial No. __________________

here

 

Purchased From _________________________ Date of Purchase:___________

 

 

 

 

 

1.

Method of purchase: (check all that apply)

 

 

Medicare

Insurance

Medicaid

Other __________________________

 

2.

This product was purchased for use by: (check one)

 

Self

Parent

Spouse

Other

 

3.

Product was purchased for use at:

 

 

Home

Facility

Other

 

 

4. I purchased an Invacare product because:

Price Features (list features) _________________________________________

5. Who referred you to Invacare products? (check all that apply)

 

Doctor Therapist Friend Relative Dealer/Provider

Other_________

Advertisement (circle one): TV, Radio, Magazine, Newspaper

No Referral_____

6.What additional features, if any, would you like to see on this product?

__________________________________________________________________________ Fold

7.

Would you like information sent to you about Invacare products that may be available for a here

 

particular medical condition? Yes No

 

If yes, please list any condition(s) here and we will send you information by email and/or mail about

 

any available Invacare products that may help treat, care for or manage such condition(s):

 

__________________________________________________________________________

8.

Would you like to receive updated information via email or regular mail about the Invacare

 

home medical products sold by Invacare's dealers? Yes No

9.What would you like to see on the Invacare website?

__________________________________________________________________________

10.Would you like to be part of future online surveys for Invacare products? Yes No

11.User's Year of birth: ______________________________________________________

If at any time you wish not to receive future mailings from us, please contact us at Invacare Corporation, CRM Department, 39400 Taylor Parkway, Elyria, OH 44035, or fax to 877-619-7996 and we will remove you from our mailing list.

To find more information about our products, visit www.invacare.com.

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Contents Lightweight, Standard and Heavy Duty Wheelchairs Lightweight, Standard and Heavy Duty Wheelchairs Table of Contents Front Riggings Table of Contents Complete and mail the form on the next Register Your ProductCity State/Province Product Registration FormFold here Cut Along Line Wheelchair TIE-DOWN Restraints and Seat Restraints Special NotesSpecial Notes Important Notice Label LocationTypical Product Parameters LightweightTypical Product Parameters Stability All Models General GuidelinesAnti-Tippers Operating Information Tire Pressure Weight Limitation Weight TrainingSafety/Handling of Wheelchairs SAFETY/HANDLING of WheelchairsStability and Balance Coping With Everyday Obstacles Do not tip the wheelchair without assistance Reaching, Leaning and Bending ForwardReaching and Leaning Backwards TippingMethod 2 Wheelchair Without Step Tubes Method 1 Wheelchair With Step TubesStairways Transferring To and From Other Seats EscalatorsUnfolding Unfolding and Folding WheelchairDo not allow upholstery to hang between the cross braces Folding WheelchairSafety Inspection Checklist Safety INSPECTION/TROUBLESHOOTINGInspect/Adjust Initially Inspect/Adjust Monthly Inspect/Adjust WeeklyInspect/Adjust Periodically TroubleshootingMaintenance Safety Precautions MaintenanceSuggested Maintenance Procedures Safety INSPECTION/TROUBLESHOOTING Removing Installing/Removing Front RiggingsInstalling Front RiggingsSpring Button Height Adjusting Footplate HeightBolt-In-Place Height Fixed Frame Fixed FrameInstalling Impact Guards/Calf Strap Raising/Lowering Elevating Legrest AssemblyReplacing Heel Loop Installing Impact Guards/Calf StrapFootrest shown Arms UsingReplacing Removing/Installing ArmrestsRemoving Armrest Installing ArmrestSeat and Back Installing Back Canes Lightweight Wheelchair OnlyReplacing Back Upholstery Adjusting Seat WidthReplacing Seat Upholstery Pivot Link Seat and Back Removing Upper Mounting Hardware Standard Wheelchair with Fixed FrameHeavy Duty Wheelchairs Removing Lower Mounting HardwarePivot Link Seat and Back Rear Wheels Removing/Installing Rear WheelsReplacing Rear Wheel Handrim Replacing/Repairing Rear Wheel TireInstalling/Replacing Front Casters and Forks Installing/Replacing/Adjusting Front Casters and ForksFront Casters Replacing Front Casters Adjusting ForksReplacing Front Casters Replacing/Repairing Front Caster Tire/TubeInstalling Anti-Tippers Installing/Adjusting Anti-tippersANTI-TIPPERS/WHEEL Locks Installing/Adjusting Anti-tippers- Anti-Tipper Length Adjusting the Anti-TippersUsing Patient Operated Disk Wheel Locks Using/Adjusting Disk Wheel LocksAdjusting Patient-Operated Wheel Locks Adjusting Patient-Operated Wheel LocksInstalling Wheel Lock Shoe Extensions Installing Wheel Lock Shoe ExtensionsChanging Seat-to-Floor Height Seat to FloorHeight Mounting Position Options Installing the Seat Positioning StrapStandard and Heavy Duty/Extra Wide Wheelchairs Lightweight Wheelchairs Options Options Limited Warranty Made in Mexico