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TECHNICAL SERVICES
Name
Title
Facility Name
Address
City
State
Zip
Phone Number
Fax Number
E-Mail Address
Number of Beds
How do you currently transfer patients/residents?
Manually
Transfer Aids
Floor Lift
Sit to Stand
Ceiling Lift
Current Brand of Lift
How did you hear about us?
Medcare Product
Magazine Advertisment
Brochure
Mailing
Contacted by Distributor
Referral
Web Search
Other
Comments/Questions
Floor Lifts
Care Lift
Care BÂR Lift
Care Lift-N-Weigh
Care BÂR Lift-N-Weigh
Car Extractor
Ceiling Lifts
Medcare Ceiling Lift
Bariatric Ceiling Lift
Portable Ceiling Lift
Stands
Care Stand
Care BÂR Stand
Care Stand-N-Weigh
Care BÂR Stand-N-Weigh
Slings & Belts
Slings for Lifts
Belts for Stands
Patient Specific
Accessories
Transfer Aids
Transfer Aids
Position Aids
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