Rental RequestYour Rental Experts Please complete the form on this page and we will contact you with availability of the item(s) requested for rental and confirm the booking. Please Submit Your Rental Request Using The Form Below "*" indicates required fields Name* First Last Email* Phone*Address* Street Address City Alberta ZIP / Postal Code Submit request to which location?*CalgaryMedicine HatRequested Start Date* MM slash DD slash YYYY Return Date (If Known) MM slash DD slash YYYY Click all the category of Items you would like to rent*A list of rentable items will appear below, based on what categories you select. Accessibility Bathroom Safety Bedroom Safety Living Room Mobility Portable Ramps Accessibility - Select the items you would like to rent* Straight Run Stair Lift 5' Porch Lift Floor Lifts Bathroom Safety - Select the items you would like to rent* Bath Stool with Back Bath Stool without Back Commode Stationary Bariatric Commode Bath Transfer Bench Bariatric Bath Seat Wheeled Shower Commode Bedroom Safety - Select the items you would like to rent* Electric Hospital Bed Electric Hospital Bed - Premium Over Bed Table Living Room - Select the items you would like to rent* Lift Chair Mobility - Select the items you would like to rent* Transport Chair Manual Wheelchair Elevating Leg Rests 4-Wheel Walker Steerable Knee Walker Steerable Knee Walker All-Terrain Folding 2-Wheel Walker Paediatric Wheelchair Tilt Chair Basic Powered Scooter Basic Power Chair Portalbe Ramps - Select the items you would like to rent* Trifold Ramp 6' Trifold Ramp 8' Trifold Ramp 10' Special Requests and CommentsCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
