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ALS Society of BC—Assistive Equipment Prescription Form To assist in minimizing delays as well as costs incurred to the Society, all requests must include this page and any subsequent pages you have selected items on.
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Document Date: 2014-01-21 18:37:48


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File Size: 822,82 KB

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City

Bath / /

Company

Assistive / Invacare / Eye Gaze Systems / MAC Computer / /

/

Facility

Toilet Safety Frame / Trapeze Bar / /

/

Movie

Pick-up / /

Organization

Without Arm Transfer Board / Society of BC / ALS Society of BC / ALS Society / /

Person

Victoria Centric Nanaimo / Voice Amplifier / Vernon Lakeside / Courtenay Salt / Billie Doyle / /

/

Position

Lift chair / Spokesman / Equipment Loan Coordinator / Walker / /

URL

www.alsbc.ca / /

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