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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: 2013-04-18 15:11:46


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File Size: 816,82 KB

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City

Bath / /

Company

Universal / Assistive / Eye Gaze Systems / MAC Computer / /

/

Facility

Hospital Bed / Toilet Safety Frame / /

/

Movie

Pick-up / /

NaturalFeature

Nanaimo/Powell River / /

Organization

Society of BC / ALS Society of BC / With Arm Transfer Board / /

Person

Victoria Centric / Voice Amplifier / Vernon Lakeside / Courtenay Salt / /

/

Position

Spokesman / Walker / /

URL

www.alsbc.ca / /

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