Tech Assist Order Form

When placing an order, please use the following format as an example:
Product number, quantity
24390XXS, 3

Please fill in all required fields.
If you're ordering a custom sling, please attach the Custom Sling Size Measurement Form below.
Size limit for each file is 2.00 MB

    IMPORTANT NOTICE TO PURCHASER: The following is made in lieu of all warranties, expressed or implied. Seller`s and manufacturers only obligation shall be to replace such quantity of the product proved to be defective. Neither seller nor manufacturer shall be liable for any injury, loss or damage, direct, indirect or consequential arising out of the inability to use this product. Before using, user shall determine the suitability of the product for the intended use, and user assumes all risk and liability whatsoever in connection therewith. No statement or recommendation not contained herein shall have any force affect unless in agreement signed by officers of seller and manufacturer. All Tech-Assist Products are designed to assist nurses and patients. The patients nursing care should never be neglected, and when Tech-Assist Products are in use, continual assessment should be carried out to ensure the products are still appropriate for the patients condition. Regular maintenance inspection is necessary, and damaged items should be withdrawn from use until rectified.