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ADDRESS:
PO Box 302250
North Harbour
Auckland, New Zealand

FREE PHONE:
0800 31 61 81

PHONE:
+64 9 415 1685

The first choice for mobility and rehabilitation products in New Zealand
online forms / downloads
We have put together some of the more commonly used Allied Medical forms for you to download - and make it even easier for you to deal with us!
Get Adobe Reader

All forms are provided in Adobe Acrobat format.


 

Quick Links to Information on this Page


End to End Charts

PDF File Backrest Chart (552Kb)
PDF File Cushion Chart (233Kb)
PDF File Manual Wheelchair Chart (180Kb)
PDF File Paediatric Mobility Chart (321Kb)
PDF File Paediatric Standing & Walking End to End Chart (781Kb)
PDF File Powerchair Chart (344Kb)


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Adult Manual Wheelchairs

Adult Manual Wheelchairs
PDF File Karma BT10 Bariatric Wheelchair - Download a script
PDF File Karma BT10 Bariatric Wheelchair - Download a brochure
PDF File Karma Econ800 Wheelchair - Download a brochure
PDF File Karma KM2501 Ergolite Transit Wheelchair - Download a brochure
PDF File Karma S-Ergo - Download a brochure
PDF File KM5000 Standard Lightweight Self-Propelling Reclining Wheelchair - Download a brochure
PDF File KM5000 Standard Lightweight Self-Propelling Reclining Wheelchair - Download a script
PDF File KM8000 Standard Lightweight Wheelchair - Download a brochure
PDF File KM8000 Standard Lightweight Wheelchair - Download a script
PDF File Ottobock Start XXL Self Propelling Bariatric Wheelchair - Download a brochure
PDF File Ottobock Start XXL Self Propelling Bariatric Wheelchair - Download a script
PDF File PDG Eclipse 600 - Download a script
PDF File PDG Eclipse 600 - Download a brochure
PDF File PDG Fuze T20 - Download a script
PDF File PDG Fuze T20 - Download a brochure
PDF File PDG Fuze T50 - Download a script
PDF File PDG Fuze T50 - Download a brochure


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Paediatric Mobility

Buggies
PDF File Ottobock Eco Buggy - Download a script
PDF File Ottobock Kimba Neo - Download a brochure
PDF File Ottobock Kimba Neo - Download a script
PDF File Ottobock Kiwi Rehab Buggy - Download a brochure
 
Manual Wheelchairs
PDF File Karma KM7520 Reclining Lightweight Paediatric Self Propelling Wheelchair - Download a script
PDF File Karma KM7520 Standard Lightweight Paediatric Wheelchair - Download a script
PDF File Ottobock Discovery Tmax - Download a brochure
PDF File PDG Fuze T50 Junior Tilt-in-space Wheelchair - Download a brochure
PDF File PDG Fuze T50 Junior Tilt-in-space Wheelchair - Download a script
 
Powerchairs
PDF File Ottobock Skippi - Download a brochure
PDF File Quantum 610 Power Chair - Download a brochure
PDF File Quantum 610 Power Chair - Download a script


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Paediatric Rehabilitation

Bathing
PDF File Leckey Advance Bath Chair - Download a script
PDF File Leckey Advance Bath Chair - Download a brochure
PDF File Ottobock Hubfix II - Download a script
PDF File Ottobock Robby Bath Chair - Download a script
 
Positioning / Seating
PDF File Buckleguard - Click here for General Guidelines for Prescribers
PDF File Buckleguard - Click here for Restraint of Children information
PDF File Buckleguard - Click here for BuckleGuard consent form
PDF File HeadPod - Download a brochure
PDF File Leckey Advance Seating - Download a script
PDF File Leckey Advance Seating - Download a brochure
PDF File Leckey Early Activity System - Download a brochure
PDF File Leckey Easy Seat - Download a brochure
PDF File Leckey Easy Seat - Download a script
PDF File Leckey Kit Seat - Download a script
PDF File Leckey Kit Seat - Download a brochure
PDF File Leckey MYGO - Download a brochure
PDF File Leckey MYGO - Download a script
PDF File Leckey MYGO - Watch video
PDF File Leckey Squiggles Seating System - Download a script
PDF File Leckey Squiggles Seating System - Download a brochure
 
Sleeping Systems
PDF File Leckey Sleepform - Download a script
PDF File Leckey Sleepform - Watch video
PDF File Leckey Sleepform - Download a brochure
 
Standing / Walking
PDF File Buddy Roamer - Download a brochure
PDF File Buddy Roamer - Download a script
PDF File Leckey Freestander - Download a brochure
PDF File Leckey Freestander - Download a script
PDF File Leckey Horizon Prone / Supine Stander - Download a brochure
PDF File Leckey Horizon Prone / Supine Stander - Download a script
PDF File Leckey Mygo Stander - Download a script
PDF File Leckey Mygo Stander - Download a brochure
PDF File Leckey Pronestander - Download a script
PDF File Leckey Pronestander - Download a brochure
PDF File Leckey Squiggles Standing Frame - Download a script
PDF File Leckey Squiggles Standing Frame - Download a brochure
PDF File Leckey Totstander - Download a script
PDF File Leckey Totstander - Download a brochure
PDF File Ottobock Nurmi Neo Posterior Walker - Download a brochure
PDF File Ottobock Nurmi Neo Posterior Walker - Download a script
 
Toileting
PDF File Leckey Easy Seat - Download a brochure
PDF File Leckey Easy Seat - Download a script
PDF File Leckey Toilet Seat - Download a brochure
PDF File Leckey Toilet Seat - Download a script


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Paediatric Wheelchair Seating

Paediatric Wheelchair Seating
PDF File Varilite Junior Paediatric Back - Download a brochure
PDF File Varilite Junior Paediatric Cushion - Download a brochure


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Power Chairs

Power Chairs
PDF File Generic Powerchair Interactive Script Form (185kb)
PDF File Jazzy 600 Power Chair - Download a script
PDF File Jazzy 600 Power Chair - Download a brochure
PDF File Jazzy 623 - Download a brochure
PDF File Karma KP25 Standard Power Chair - Download a brochure
PDF File Ottobock Skippi - Download a brochure
PDF File Pride R4 - Download a brochure
PDF File Q6 Edge - Download a brochure
PDF File Q6 Edge - Download a script
PDF File Q6 Edge - Four fantastic enhancements to the Quantum Rehab and Jazzy powerchair range
PDF File Quantum 1420 Power Chair - Download a script
PDF File Quantum 1420 Power Chair - Download a brochure
PDF File Quantum 1650 Power Chair - Download a script
PDF File Quantum 1650 Power Chair - Download a brochure
PDF File Quantum 6000Z Power Chair - Download a script
PDF File Quantum 6000Z Power Chair - Download a brochure
PDF File Quantum 610 Power Chair - Download a brochure
PDF File Quantum 610 Power Chair - Download a script
PDF File Quantum R44 - Download a brochure
PDF File Quantum R44 - Download a script
PDF File ScoutCrawler - Download a brochure


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ScoutCrawler

ScoutCrawler
PDF File ScoutCrawler - Download a brochure


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Wheelchair Accessories

Wheelchair Accessories
PDF File Gel Ovations Arm Pads - Download a brochure
PDF File Gel Ovations Footrest Pads - Download a brochure
PDF File Gel Ovations Leg Pads - Download a brochure
PDF File Gel Ovations Pads - Download a brochure


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Wheelchair Seating

Backs
PDF File Ottobock ProContour Back 1 - Download a brochure
PDF File Ottobock ProContour Back 2 - Download a brochure
PDF File Ottobock ProContour Back 3 - Download a brochure
PDF File Ottobock ProContour Back 4 - Download a brochure
PDF File Varilite Icon Back Supports - Download Icon Backrests Technical Guide
PDF File Varilite Icon Back Supports - Download Icon Backrests Brochure
PDF File Varilite Icon Deep Back - Download Icon Backrests Technical Guide
PDF File Varilite Icon Deep Back - Download Icon Backrests Brochure
PDF File Varilite Icon Low Back - Download Icon Backrests Technical Guide
PDF File Varilite Icon Low Back - Download Icon Backrests Brochure
PDF File Varilite Icon Mid Back - Download Icon Backrests Technical Guide
PDF File Varilite Icon Mid Back - Download Icon Backrests Brochure
PDF File Varilite Icon Tall Back - Download Icon Backrests Technical Guide
PDF File Varilite Icon Tall Back - Download Icon Backrests Brochure
 
Cushions
PDF File Dreamline Basic Cushion - Download a brochure
PDF File Dreamline Contour Cushion - Download a brochure
PDF File Dreamline Support Cushion - Download a brochure
PDF File Varilite Evolution Wheelchair Cushion - Download a brochure
PDF File Varilite ProForm NX Wheelchair Cushion - Download a brochure
PDF File Varilite Reflex Wheelchair Cushion - Download a brochure
PDF File Varilite Solo Wheelchair Cushion - Download a brochure
PDF File Varilite Stratus Wheelchair Cushion - Download a brochure


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Trial Request Form

PDF File Click here to use our Online Trial Request Form
PDF File Download the Trial Request Form (43Kb)


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Others

PDF File Wheelchair accessories script form (33kb)
PDF File Generic Powerchair Interactive Script Form (185kb)
PDF File MS Reference tool (1.4Mb)
PDF File Four fantastic enhancements to the Quantum Rehab and Jazzy powerchair range (916Kb)
PDF File Account Application Form (178Kb)
PDF File Karma User Manual (1.42Mb)
PDF File Weight Capacity Powerchair Matrix (646Kb)


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The Ringleader

PDF File June 2014 (993 KB)
PDF File March 2014 (1.37 Mb)
PDF File December 2013 (1.76 Mb)
PDF File September 2013 (888 Kb)
PDF File June 2013 (1.7 Mb)
PDF File February 2013 (918Kb)
PDF File December 2012 (2Mb)
PDF File September 2012 (1.12Mb)
PDF File July 2012 (1.99Mb)
PDF File December 2011 (1.41Mb)
PDF File September 2011 (487Kb)
PDF File June 2011 (683Kb)
PDF File March 2011 (571Kb)

» Ringleader Archive

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ADDRESS PO Box 302250, North Harbour, Auckland, New Zealand
PHONE Call Free: 0800 31 61 81 • Auckland: 415 1685 • International: +649 415 1685
FAX New Zealand: 09 415 1686 • International: +649 415 1686
EMAIL Technicians:techhelp@alliedmedical.co.nz
Customer Care Team: helpis@alliedmedical.co.nz