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Walker Indentification # (as found on recall notice letter)(Required)

The walker was returned to:(Required)

Please select a Depot:(Required)

Name of health care facility:(Required)

Name of individual:(Required)

Replacement kits are limited. Please contact the nearest Special Needs Equipment depot at your earliest convenience to arrange for the wheel component replacement. • Prince Albert – 1205 First Avenue East – 306-922-0225 • Regina – #2 - 1723 Francis Street – 306-569-1262 • Saskatoon – 2310 Louise Avenue – 306-664-6646 • Swift Current – 1551 North Railway Street West, Entrance B – 1-833-526-5299 • Yorkton– 144 Ball Road – 1-833-444-4126

Thank you. A replacement set of wheels will be sent out as soon as possible. If you have any questions, please do not hesitate to call 1-888-230-5414.

Special Needs Equipment - Online Recall Form

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