Release and Waiver of Liability Wheelchair Agreement

Form Template

The Wheelchair Release and Waiver of Liability Agreement mobile app is ideal for clinics, physical therapy offices, and rehabilitation centers renting and leasing wheelchairs.

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The app includes an easy to use waiver of liability agreement that can be tailored to your facility. You can also customize the liability form to include the rental period, waiver clause in case of personal injury, and how rental equipment should be returned.

This liability waiver form is saved in the GoCanvas Cloud after completion. You can also print or email it as a PDF if you need to send it to a Medicaid service provider, long-term care facility, or keep for your records. This app can be downloaded to an iPhone, iPad, or Android device.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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