Freedom Solutions

1300 663 243

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Please note, to successfully trial a Frame Runner you must be able to weight bear through at least one leg.


Client/Rider Contact Details 





Address Details





Nominated Contact Details
 






Address Details
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Are you the emergency contact?

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Emergency Contact Details 





Community Therapist Details(eg. Physio, OT, Exercise Physiologist) 








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Client Details

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Additional Information


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Client Cultural Details

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Funding Details

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NDIS Information




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