Request Equipment Form


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*Power scooters and wheelchairs require a 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 87104, or emailed to: backInUse@goAdelante.org

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