Form Test - Mobile Shower Commode Chairs

Dealer / Location *

Phone *

Fax

PO # / Client Ref

Contact *

Email *

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Model Selection

Raz-AP Rehab Shower Commode Chair with 40° of tilt range, height adjustable stainless steel frame, four dual-locking 5” casters, molded seat, stainless steel headrest fixture, molded small headrest pad (10” x 4”) and commode pan. Footrests (Z705N) are included.

Model Selection

Raz-AT – 18”W Seat Frame and 18”W Back Frame $2,995
Raz-AT with Custom Seat $2,995 (customization by quotation)

Custom Seat Frame Width Dimensions: (please select a size below)

Custom Seat Back Frame Width: (please select a size below)

Note: Custom Widths and depths from 14” to 22” are available. Please call for a quotation on these sizes and other custom modifications

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Seat Configurations

Molded Seats (Thickness ~ 2.5”)
Visco-Foam Interface Seats (Thickness ~ 3.5”)
E&J Replica Molded Seat 18”W x 17”D
Custom E&J Replica Visco Foam Seat
Custom Seat Construction

Molded Seats (Thickness ~ 2.5”)

Z405 - 18”W x 16”D – Front Opening - Standard
Z410 - 18”W x 16”D – Front Bridged - No Charge
Z415 - 18”W x 19”D – Front Opening - $135
Z420 - 18”W x 19”D – Front Bridged - $135

Visco Foam Interface Seats

Z436BRI - 18”W x 16”D – Front Bridged - $425
Z436FRO - 18”W x 16”D – Front Opening - $425
Z436LTO - 18”W x 16”D – Left Opening - $425
Z436RTO - 18”W x 16”D – Right Opening - $425
Z436RRO - 18”W x 16”D – Rear Opening - $425
Z439BRI - 18”W x 19”D – Front Bridged- $495
Z439FRO - 18”W x 19”D – Front Opening - $495
Z439LTO - 18”W x 19”D – Left Opening - $495
Z439RTO - 18”W x 19”D – Right Opening - $495
Z439RRO - 18”W x 19”D – Rear Opening - $495

Custom E&J Replica Visco Foam Seat

Z4EJRC - Custom E&J Replica Visco Foam Seat - $795

Custom Seat Construction

ZCUSTSA - Custom Seat Construction - By Quotation

Custom Seat Width:

Custom Seat Depth:

Custom Aperture Width:

Custom Aperture Depth:

Custom Seat Opening

Bridged
Front
Rear
Left
Right

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Backrest and Back Options (Back Heights Measured From Top of Seat to Top of Back Upholstery)

Fixed Backs: Include Adjustable-Tension Back Upholstery, Flip-up Padded Armrests, Back Angle Adjustment (85°/90°/95°) with cane-style posts.
Adjusta-Back Option: Same as Fixed Back plus Height/Angle Adjustable Armrests and Armrest Lock Kit (Z710).

Select your backrest *

Fixed Back
Adjusta-Back
Symphony Back
Harmony Backrest
Reclining Adjusta-Back
Custom Back Construction

Fixed Back

Z505 - Fixed Back –17” Back Height - No Charge
Z506T - Fixed Back – 20” Back Height - Standard

Adjusta-Back

Z509 - Adjusta-Back – 15” Height - $225
Z510 - Adjusta-Back – 17” Height - $225
Z515 - Adjusta-Back – 20” Height - $295
Z520 - Adjusta-Back – 24” Back Height (with straight back posts) - $295

Symphony Back

Z5S14 - Symphony Back - Recessed Solid Back frame width 14” - $395
Z5S16 - Symphony Back - Recessed Solid Back frame width 16” - $395
Z5S18 - Symphony Back - Recessed Solid Back frame width 18” - $395
Z5S20 - Symphony Back - Recessed Solid Back frame width 20” - $495
Z5S22 - Symphony Back - Recessed Solid Back frame width 22” - $495

Harmony Backrest

Z749 - Harmony Backrest (Contoured Solid Black – 18”W x 13”T) Fits 17” or 20” Back - $245

Reclining Adjusta-Back

Z515R - Reclining Adjusta-Back – 30° Recline, 20” Back Height (Tilt is limited to 25°) - $895

ZCUSTBK - Custom Back Construction - By Quotation (please provide details below)

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Arm Support Accessories

Z710 - Armrest Lock Kit (for Z505 and Z506T – pair) - $55
Z715L - Molded Flat Armpad – Left (14”L x 3.5”W) - $95
Z715R - Molded Flat Armpad – Right (14”L x 3.5”W) - $95
Z716L - Molded Arm Trough – Left - $110
Z716R - Molded Arm Trough – Right - $110
Z717L - Pivoting Arm Mount – Left (for Z715L/Z716L) - $165
Z717R - Pivoting Arm Mount – Right (for Z715R/Z716R) - $165
Z718 - Armrest Spacer Kit – 1⁄2” (for Z510/Z515/Z520 – pair) - $60
Z719 - Armrest Spacer Kit – 1” (for Z510/Z515/Z520 – pair) - $115

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Foot and Leg Supports (Z705N Adjustable Footrest Included With the Z300)

Z705N - Footrests 16” – 20” (pair) - Standard
Z705NL - Footrests – Locking 16” – 20” (pair) - $75
Z7MFX8 - MFX Footrests 8” – 12” (pair) - $75
Z7MFX12 - MFX Footrests 12” – 16” (pair) - $175
Z7FREXT - Footrest Extension Tubes (2” longer – pair) - $50
Z7ADMFP - Adjustable Angle/Depth Molded Footplates (pair) - $190
Z7V1PCFT - V-Style 1-piece Footrest - $195
Z706 - H-Strap (attaches to footrests for calf support) - $90
Z708ADJ- Heel Loops – Adjustable (pair) - $60
ZELRL - Elevating Legrest – Left (includes recessed calf pad and Z7ADMFP) - $345
ZELRR - Elevating Legrest – Right (includes recessed calf pad and Z7ADMFP) - $345
Z7ELROFL - Offset Elevating Legrest – Left (includes recessed calf pad and Z7ADMFP) - $385
Z7ELROFR - Offset Elevating Legrest – Right (includes re- cessed calf pad and Z7ADMFP) - $385
Z737CPL - Calf Panel – BodyPoint Aeromesh - $175
Z7NCSFP - Neoprene Covers for Standard Footplates – (pair) - $90
Z7NCAMFP - Neoprene Covers for Adjustable Angle/Depth Molded Footplates – (pair) - $90
ZCUSTFT - Custom Footrest/Legrest Support Construction - By Quotation

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Positioning Pads * Depth-Adjustable Pad sizes: Small – 5.5” x 3.5” / Large – 6.75” x 4.3”

Z7HPL - Headrest Pad – Large (12” x 6”) $135
Z7HCO - Headrest Clamp w/ 2” Lateral Offset Adjustment $95
Z740AP1L- Lateral Support – with Small* Depth- Adjustable Pad – Left - $320
Z740AP1R - Lateral Support – with Small* Depth- Adjustable Pad – Right - $320
Z740AP2L - Lateral Support – with Large* Depth- Adjustable Pad – Left - $320
Z740AP2R - Lateral Support – with Large* Depth- Adjustable Pad – Right - $320
Z746AP1L - Leg Adductor – with Small* Depth- Adjustable Pad – Left - $320
Z746AP1R - Leg Adductor – with Small* Depth- Adjustable Pad – Right - $320
Z746AP2L - Leg Adductor – with Large* Depth- Adjustable Pad – Left - $320
Z746AP2R - Leg Adductor – with Large* Depth- Adjustable Pad – Right - $320
Z747AP1L - Hip Adductor – with Small* Depth- Adjustable Pad – Left - $320
Z747AP1R - Hip Adductor – with Small* Depth- Adjustable Pad – Right - $320
Z747AP2L - Hip Adductor – with Large* Depth- Adjustable Pad – Left - $320
Z747AP2R - Hip Adductor – with Large* Depth- Adjustable Pad – Right - $320
Z742 - Lateral/Adductor 1.5” Extension Plate - $25

Select Quantity of Z742 - Lateral/Adductor 1.5” Extension Plate - $25 each

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Pelvic and Chest Belts (Chest belt should always be used in conjunction with a pelvic belt)

Z730 - Chest Belt (1-piece with Velcro closure) - $35
Z735 - Pelvic Positioning Belt (2-piece with Fastex buckle) - $35
Z736CM - Chest Belt – BodyPoint Aeromesh Medium - $185
Z736CL - Chest Belt – BodyPoint Aeromesh Large - $185
Z736CXL - Chest Belt – BodyPoint Aeromesh X-Large - $185
Z736PM - Pelvic Belt – BodyPoint Aeromesh Medium - $175
Z736PL - Pelvic Belt – BodyPoint Aeromesh Large - $175
Z736PXL - Pelvic Belt – BodyPoint Aeromesh X-Large - $175

Recommended Sizes for BodyPoint Aeromesh Belts:
Chest belt: 14”-16”W back frame: Z736CM - 16”-18”W back frame: Z736CL - 18”+W back frame: Z736CXL
Pelvic belt: 16”W seat frame: Z736PM - 16-18”W seat frame: Z736PL - 20”+W back frame: Z736PXL

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Other Options

Z675 - Directional Caster (improves steering) - $145
ZSPCP1 - Commode Pan Spacer Kit – 1” Lower - $200
ZSPCP2 - Commode Pan Spacer Kit – 2” Lower - $215
ZSPCP3 - Commode Pan Spacer Kit – 3” Lower - $230
ZSPCP4 - Commode Pan Spacer Kit – 4” Lower - $245
Z7SS - Splashield - $95

Credits and Ommisions:

Z905 - Omit Commode Pan and Mounting Brackets (-$20)
Z907 - Omit Standard Footrests 16” – 20” (-$45)
Z911 - Omit Molded Small Headrest Pad (-$20)
Z913 - Omit Headrest Fixture (-$35)

Additional Comments