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Get Msaa Equipment Distribution Program
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How to fill out the Msaa Equipment Distribution Program online
The Msaa Equipment Distribution Program is designed to assist individuals with multiple sclerosis by providing essential safety, mobility, and daily living products at no cost. This guide will walk you through the steps to complete the application form online, ensuring you have the necessary resources to improve your daily life.
Follow the steps to successfully complete your application.
- Click ‘Get Form’ button to obtain the application form and open it in the online editor.
- Fill out the Personal Data Form, ensuring you provide accurate information. This section establishes your identity and eligibility.
- Complete the Income Eligibility Section. Report your yearly family income and the number of people residing in your household. Ensure that your reported income corresponds to the guidelines provided.
- Enter your product selections. Carefully choose the items you need from Group A and Group B, keeping in mind the restrictions on the number of selections.
- Obtain a prescription or letter from your doctor verifying your diagnosis of multiple sclerosis. This documentation is essential for your application.
- Read and sign the Equipment Terms Agreement Form. By signing, you acknowledge the terms and conditions regarding the equipment distribution.
- After completing all sections, save your changes, and if applicable, download or print the filled-out form for your records before submission.
- Ensure all required documents, including the application form, the Personal Data Form, and your doctor's prescription, are included before sending them to MSAA.
Complete your application for the Msaa Equipment Distribution Program online today.
The MOTOmed movement therapy device allows physical training without overstraining for MS patients. You can train passively, with motor-assistance or actively with your own muscle strength. The MOTOmed can be used from the comfort of your chair or wheelchair. There are special therapy programs for a targeted training.
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