Learn what makes us the leading provider of complex rehab and assistive technologies.
Meet the assistive technology professionals (ATPs) helping you find the perfect equipment.
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Let's work together to keep you moving!
Please select the service location nearest to you.
Please tell us about yourself.
Please complete this information about the customer.
Notice: Medicare and many insurances may not pay for equipment or repairs while you reside in a nursing home. After completing and submitting this form, an Action Seating & Mobility Customer Care Coordinator will contact you as soon as possible to help you decide the best way for you to get what you need.
Please fill this information about the therapist.
For all insurances provided, please upload a corresponding photo.
Medicare Notice: If you're using Medicare, some items may require a face-to-face (F2F) visit with the physician.
Please select a preferred date and time for your evaluation and a Customer Care Coordinator will be in contact to find the best available time.