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                Get Customer Design-a-roho Worksheet
How it works
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                    Open form follow the instructions
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                    Easily sign the form with your finger
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                    Send filled & signed form or save
How to fill out the Customer Design-A-ROHO Worksheet online
This guide provides users with step-by-step instructions on how to complete the Customer Design-A-ROHO Worksheet online. By following these instructions, users will be able to tailor their ROHO cushion to meet specific needs effectively.
Follow the steps to complete the worksheet accurately.
- Click the 'Get Form' button to obtain the worksheet and open it in your preferred editing application.
- Fill in the provider name and ROHO account number at the top of the form. This information is essential for order processing.
- Provide the address, city, state, zip code, and phone number. Ensure accuracy in this section for seamless communication.
- Indicate the reference name and the name of the person ordering the cushion. This helps in identifying the order accurately.
- In the special instructions section, clearly write any specific custom requests related to your cushion design.
- Refer to the attached grid and specify the number of valves required. Also, mention the width and depth of the cushion in either inches or centimeters.
- If you desire more than one valve or want it placed differently, clearly annotate this on the worksheet.
- Utilize the circles to indicate the height of each cell using the specified values. Use 'X' to mark any cells you wish to delete.
- If multiple compartments are required, draw a solid line to indicate these divisions between the cells.
- Specify attachments, such as VELCRO® strips, by using dotted lines for placement instructions and indicating the desired type.
- Indicate if you require multiple yellow hand ropes and specify their placement as needed.
- Determine if you would like a cover made to fit the cushion and note this on the form as well.
- After completing the worksheet, save your changes. You can then download, print, or share the form for submission.
Complete the Customer Design-A-ROHO Worksheet online today to design a cushion that meets your custom needs.
The Roho cushion is a high quality wheelchair seat cushion that provides pressure relief for wheelchair users who suffer from pressure sores and ischemic ulsers.
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