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Designing & building assistive equipment
for people with disabilities

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    • View our products that help people who may have very specific or complex needs.

    • Accessible Aviation
      Accessible Music
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      Switches and joysticks
    • iPad holder / mount for wheelchair
      iPad® accessories
      Device mounting
    • Switch Adapted Toys
      Positioning & support
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    • Accessible Aviation
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    • Positioning and support
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Online Bugzi Application

Home » Online Bugzi Application
Online Bugzi Application2020-10-11T21:41:23+01:00

Step 1 of 9 - Child's Details

11%
  • Child's Details

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  • Parent/Guardian/Carer Details

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  • Seat Measurements

  • SEATING DIMENSION (cm/kg)

  • See image arrow D

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  • Seat Measurements

  • See image arrow A
  • PLEASE NOTE THIS FIELD SHOULD NOT BE GREATER THAN 33CM (Please contact us if your child's measurement are greater)
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  • Seat Measurements

  • See image arrow E
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  • Seat Measurements

  • See image arrow B
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  • Seat Measurements

  • See image arrow C
  • Finally please enter weight - 25KG which is approx. 3.9 Stone
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  • About your child

  • Please tell us if your child’s condition affects their visual, sensory or cognitive abilities, or if they suffer fits or tics. Does your child use a ventilator or require oxygen that which would need to be mounted on Bugzi?
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  • Using Bugzi

  • Terms of application

  • Please sign below to confirm that you have understood the followingYou must attend one of our partner centres for initial assessment.

  • Please enter parents/guardian name below and sign.

    by entering your name this will be deemed as your signature

  • We are obliged to ask this information from the organisations that fund our service. You do not have to answer these questions, and if you choose not to, this will not make any difference to the service you receive. This section of the application form will be detached and the information collected will only be used for monitoring purposes in an anonymous format.
  • This field is for validation purposes and should be left unchanged.
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