Back in Use Equipment Request Form


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*Power scooters and wheelchairs require Proof of Disability (POD) from your physician. Your equipment request cannot be processed until your POD is received. Proof of Disability(POD) can either be mailed to: Back In Use, 1520 First Street NW, Albuquerque NM 87102, or emailed to: backInUse@goAdelante.org.