You can, should you wish, download a printeable version of this form by clicking here.
Client Contact number:
Job title or relationship to the client:
1. Measure all the way round the shoulder circumference of the client W =
2. Measure from the nape of the neck to the seat B =
4. Fabric required - please tick appropriate box Polyester (general purpose use – cannot be left in-situ)Mesh (showering/bathing)In-situ (general purpose – can be left in-situ depending on your risk assessment)
5. Attachments: Loop fixingClip fixingDual fixing
6. Head support: YesNo
7. Will the sling be used for toileting?: YesNo
8. Additional Information:
The new General Data Protection Regulations are changing a number of ways that companies use and store customer data.
We would like to assure you that at Advanced Seating Solutions Ltd. we respect your privacy and will store your information in line with our Privacy Notice & Data Protection policy (to be found here). We will only use your data to send you information relevant to your field of interest. We will not share your data with third parties without your knowledge and you can unsubscribe at any time.
Please confirm that you have read and understood:
At Advanced Seating Solutions Ltd we take protection of your personal data very seriously.
Your personal and/or sensitive data is being collected for the following reasons: