ORDER FORM / PRICE LIST

Symmetry / Symmetry Youth

Hydraulic Solid Seat Standing System

Effective 9-1-2018
 
Client:
Age:
Height:
Weight:
Dx:
Address:
City, St, Zip:
Phone:
Facility:
Therapist:
Phone:
 
 
PO:
Date:
Dealer:
Contact:
Address:
City, St, Zip:
Phone:
Fax:
Email:
 
Symmetry
$
2,850.00
Symmetry Youth
$
2,850.00
Client Height: 5' - 6' 5"
Client Weight: 275 lbs.
Client Height 3' 6" - 5' 6"
Client Weight: 250 lbs.
Standard Features: Padded sliding seat; Flip up depth adj. kneepad; Adj. ht, toe-in toe-out, planter-flexion / dorsi-flexion shoe holders; Ht. and depth adj. table top; Adj. chest pad; Hydraulic pump; Flip back armrests; Transport base with 3" plastic casters and Black frame.
Pump Handle:
Right
Left
Upholstery Color:
Grey
Blue
Seat Options:
Symmetry / Symmetry Youth Standing Systems feature our innovative sliding-seat-technology as a standard feature. Displacement of the body is reduced or minimized by this feature, effectively eliminating repositioning and decreasing risks to the skin and soft tissue.
Swivel Seat: Seat swivels and locks in multiple positions allowing easy access for transfers of all types
$
595.00
Hip Guides: Provide hip and lower extremity positioning and alignment
$
240.00
Seat Belt: Velcro D-ring belt
$
49.00
Back Options:
Symmetry Back Systems feature our adjustable sliding-back system. Our backs move with the client eliminating the effect of shear. Each back adjusts allowing fine tuning of the back and support items for the individual user when desired. The sliding back and the support items attached to it move with the client and stay in place, supplying maximum support and proper positioning.
Low Back: 9" tall Low Back asembly supplies lower back support and specific seat depth when required
$
329.00
Extended Back: Extension mounts to Low Back to create a 20" high back (requires Low Back)
$
179.00
Lateral Supports:6" x 6" triangle shaped pads adjust for width and height and move with the sliding back assembly (requires back assembly)
$
249.00
Headrest: Height and depth adjustable for support while sitting or standing (requires Extended Back assembly)
$
245.00
Support Vest: Adjustable anterior support vest in all cotton Denim material (requires Extended Back assembly)
$
195.00
Chest Belt: Single strap wraps around frame with Velcro closure (requires back assembly)
$
79.00
Padded Chest Belt: Single strap with movable pad wraps around frame with Velcro closure (requires back assembly)
$
129.00
Custom Chest Pad: Per customer specification or request
call for quote
Lower Extremity Positioning Options:
Independent Adjustable Knee Support: Independent depth adjustment allows for additional lower extremity positioning
$
319.00
Roho Knee Pads: Additional padding for clients with special positioning needs such as contractures (attaches to either knee system)
$
395.00
Foot Straps: Velcro straps for assistance in foot positioning
$
49.00
D-Ring Foot Straps: Velcro straps with D-Rings for additional holding strength
$
75.00
Solid Calf Panel: Height adjustable padded panel attaches under the seat to maintain the feed and lower extremities in a neutral position
$
139.00
Frame Options:
Mobile Kit: Allows the client with upper extremity function to self propel while standing
$
995.00
Two Piece Pump Handle: Two piece design allows the handle to be removed from reach or for storage needs
$
119.00
Quad Pump Handle: Bolt on attachment for limited hand function
$
159.00
Steel Caster Upgrade: Easy rolling, heavy duty steel casters with swivel and roll lock
$
199.00
Tray Edging: Removable edge banding to contain items on the tray surface
$
129.00
Tray Easel: Adjustable angle easel sits on tray surface supplying multiple angles of working space
$
249.00
Padded Tray Cover: Upholstered, padded cover supplies an opaque soft tray surface
$
225.00
Tray Overlay: Clear tray overlay    Opaque tray overlay
$
179.00
Symmetry / Symmetry Youth
Order Form / Price List
Effective 9-1-2018
Client:
Custom Front Seat Surface:
" Wide x " Deep (Standard Seat dimensions shown below)
Symmetry

Please supply any information for cutouts or modifications desired in this area or submit a paper or cardboard template. Additional information may be added in the special needs area below.

Call for Quote
Symmetry Youth
Custom Tray Surface:
" Wide x " Deep (Standard Tray is 24" wide x 18"deep)

Please supply any information for cutouts or modifications desired in this area or submit a paper or cardboard template. Additional information may be added in the special needs area below.

Call for Quote

Client Measurements:

A: Thorax Width "
B: Hip Width "
C: Hip-to-Knee "
D: Knee-to-Heel "
E: Shoe Size  
F: Shoulder Height "
Note: All Measurements Assume Symmetrical Standing and Sitting Posture.

Special Needs:

We are proud of our proven commitment to serving the needs of our customers with the finest standing products available since1984. We encourage you to call us with your special needs, questions, or any item that we may assist with in your standing program. Our standing and positioning specialists will be happy to answer your questions or assist you with the design and fabrication of a unit that meets your needs. Please supply as much of the information in the client measurement area of this form as possible and list special needs in the following area to speed up the design process and / or response time.

Address

4202 West Sierra Madre Ave.
Fresno, CA 93722

Phone

Toll Free: (800) 82STAND / (800) 827-8263
Local: (559) 276-0991

Fax

Toll Free: (800) 800-3355
Local: (559) 276-3544