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Independence Medical Group

Trial Equipment


IMG provides trial equipment for Occupational Therapists and other clinicians who would like to assess equipment with a client in their home before proceeding with a purchase or funding recommendation.

To help us maintain accurate trial records, please complete the form below before equipment leaves the IMG showroom. Clinicians can complete the form online before collection, or an IMG team member can complete it with you in the showroom when the equipment is collected.

The form records the clinician, client and equipment details and provides one consistent process for managing equipment taken out on trial.

Equipment Trial Form

Please complete the details below for any equipment being collected from IMG for a client trial.

Trial Equipment

Clinician's Details

Client's Details

Trail Information

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