Service Request

Your Service Experts

Assist Health Supplies trained technicians have the training and competency to service your equipment with confidence. We understand the value of your mobility and independence. We will work diligently to repair your equipment so you can get back to the things that matter to you.

Items We Service

Electric Wheel Chairs
Manual Wheel Chairs
Power Chairs
Lift Chairs
Hospital Beds
Porch Lifts
Scooters
Stair Lifts
Walkers/Rollators

Please Submit Your Service Request Using The Form Below

"*" indicates required fields

Name*

Email*

Phone*

Address*

Street Address City Province Postal Code

Equipment To Be Serviced*

Alberta Aids to Daily Living (AADL) Owned?*

Yes

Brief Description of the Issues*

Comments

This field is for validation purposes and should be left unchanged.

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Service Request

Your Service Experts

Items We Service

Please Submit Your Service Request Using The Form Below

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