You are booking a Mobility Scooter Assessment, including Wheelchair Assessments
Step 1
Please use the form to complete your details and pay for your assessment. We will contact you shortly to confirm your booking with you.
Step 2
To help you on the day, please use the link below to give further details on your needs.
Pre-Assessment Form
To increase the size of the form, on your keyboard hold CTRL and press the + key to zoom in on a Windows PC or hold CMD and press + key on a Mac.
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Location Selection
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Date & Time
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Your Information
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Payment
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Verify Order Details
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Confirmation
Location Selection
Please select a location you want the service to be performed at
Location Selection
Please select a location you want the service to be performed at
Date & Time
Click on a date to see a timeline of available slots, click on a green time slot to reserve it
Your Information
Please provide you contact details so we can send you a confirmation and other contact info
Payment
You can either pay online using your credit card or PayPal, or you can pay on arrival with cash
Verify Order Details
Double check your reservation details and click submit button if everything is correct
Confirmation
Your appointment has been successfully scheduled. Please retain this confirmation for your record.