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Backrest Profile Form E 2
(Please attach to Generic Order Form)
BACKREST PROFILE: (If not Standard)
STRAIGHT VIGOUR-MID SPEX
(Scapular Cut-outs) (T-Shape)
Possible for Vigour Lo, Mid, Hi and Spex Possible for Vigour Hi, Extended
Possible for all backrests backrests and Spex backrests
(Page 19) (Page 20)
FOAM UNIT CONSTRUCTION:
CUSTOM THICKNESS;
STANDARD FOAM UNIT SPEX STYLE FOAM UNIT (with Cubes)
GEL FOAM INSERT IN SPINAL REGION PRESSURE RELIEVING OVERLAY
OTHER:
s
rder Form
O
Form E2