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TISSUE VIABILITY EQUIPMENT REQUEST FORM

Please make client or family aware when discussing provision. TV_EQUIPMENT_REQUEST_FORM_V3_Mar2021 Page 2 of 6 ... The repose foot protector PLUS with magnetic straps is not suitable for those with pacemakers. ... NHS Number. Patient Name. SEATING REQUEST If you require a riser recliner chair as part of an active …

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