Standard Medical Equipment / Mobility Aids Request
Use this form to request regular/non-electronic equipment such as a cane, walker, manual wheelchair, shower chair, commode, incontinence supplies, etc. You’ll be able to schedule an appointment to pick up these items, depending on availability.
We serve Bloomington, Indiana, and surrounding counties. If you are not in Indiana, we cannot assist you — please visit our resources page to find an organization near you.