oasis collection order form - pride mobility products corp. · 2021. 1. 6. · the oasis collection...

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This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat. HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for determining the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power lift recliner. Pride Providers may contact technical service for accurate parts ordering.

Thank you for choosing Pride® Mobility Products!

Introduction

Oasis Collection Chaise lounger. Weight capacity: 375 lbs.

LC-580iM ..........................................................................................................................$2,299Part: L580IMMODELTrue Infinite-position, Zero Gravity, Trendelenburg. 5′4″ to 6′ height range, 20″ seat width. HCPCS: E0627 — Seat lift mechanism, electric, any type. With memory button hand control.

LC-580iL ...........................................................................................................................$2,369Part: LC580ILMODELTrue Infinite-position, Zero Gravity, Trendelenburg. 5′9″ to 6′2″ height range, 21″ seat width.HCPCS: E0627 — Seat lift mechanism, electric, any type. With memory button hand control.

Oasis Collection Order Form

Pride Mobility Products Corporation401 York Ave., Duryea, PA 18642Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: [email protected]

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

Select a Fabric ColorSee Page 2 for more fabrics.

LC-580iM Shown in GarnetUltraleather Fabric

Eggplant ............ StandardPart: FABSEG

Godiva ............... StandardPart: FABSGO

Charcoal ............ StandardPart: FABSCH

Navy ................... StandardPart: FABSNA

Cashmere .......... StandardPart: FABSCA

Saratoga FabricsThese are Quick Ship, Standard fabrics with no additional cost.

Features• 375 lb. Weight Capacity• Memory Button Hand Control

with USB Charger• True-Infinite Positioning• Zero Gravity Positioning• Trendelenburg Positioning• Memory Foam Seating• Lumbar Pillow Included

Black .......................... $150Part: FABSKB

Mushroom ................. $150Part: FABSKM

Burgundy .................. $150Part: FABSKG

Chestnut .................... $150Part: FABSKC

Lexis Sta-Kleen® FabricsThese are Optional fabrics with additional cost. Additional lead time may apply.

FDA Class II Medical Device*

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Buff ............................. $630Part: FABUBUF

Fudge ......................... $630Part: FABUFUD

Garnet ........................ $630Part: FABUGAR

Charcoal .................... $630Part: FABUCL

Pecan ......................... $630Part: FABUPEC

Espresso ................... $250Part: FABXESP

Cool Grey .................. $250Part: FABCCG

Red ............................. $250Part: FABXPRD

Sand ........................... $250Part: FABXSAN

Deluxe Heat and Massage ...........$300Part: ELE1609954Not available with Memory Button Hand Control

Fabric Cleaning Kit ...... $39.90 ea.Part: ACC2001791

Lithium Battery Backup ............... $110Part: ELE2001103

Select Upgrades and Accessories

Crypton® Aria FabricsThese are Optional fabrics with additional cost. Additional lead time may apply.

Ultraleather™ FabricsThese are Optional fabrics with additional cost. Additional lead time may apply.

Select a Fabric Color (continued)

Head PillowsSee Page 3 for Bolster Pillows.

Eggplant ...................... $50Part: UPSHDPL1460

Godiva ......................... $50Part: UPSHDPL1459

Charcoal ...................... $50Part: UPSHDPL1457

Navy ............................. $50Part: UPSHDPL1456

Cashmere .................... $50Part: UPSHDPL1458

Saratoga Fabrics

Lexis Sta-Kleen® Fabrics

Black ............................ $50Part: UPSHDPL1451

Mushroom ................... $50Part: UPSHDPL1454

Burgundy .................... $50Part: UPSHDPL1452

Chestnut ...................... $50Part: UPSHDPL1453

Crypton® Aria Fabrics

Espresso ..................... $50Part: UPSHDPL1445

Cool Grey .................... $50Part: UPSHDPL1450

Red ............................... $50Part: UPSHDPL1448

Sand ............................. $50Part: UPSHDPL1449

Buff ............................... $50Part: UPSHDPL1215

Fudge ........................... $50Part: UPSHDPL1214

Garnet .......................... $50Part: UPSHDPL1216

Charcoal ...................... $50Part: UPSHDPL1455

Pecan ........................... $50Part: UPSHDPL1220

Ultraleather™ Fabrics


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LIFT

Pride Mobility Products Corporation401 York Ave., Duryea, PA 18642Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: [email protected]

Power Lift Recliner Position ReferenceThe Oasis Collection is a true-infinite position power lift recliner. True-infinite position Pride Power Lift Recliners enable the backrest and footrest to move independently from one another to achieve a variety of positions.

2-Position (TV Recline)TV recline can be achieved on all Pride Power Lift Recliners. This features a partially elevated footrest and a slightly reclined backrest.

3-Position (Full Recline)Full recline can be achieved on 3-position Pride Power Lift Recliners when the footrest is fully elevated.

Zero Gravity PositionThe zero gravity position can be achieved with infinite-position Pride Power Lift Recliners. This places the thighs and lower legs higher than the torso.

Trendelenburg PositionThe Trendelenburg position elevates the feet higher than the head for increased comfort and relaxation.

True-Infinite PositionTrue-infinite position Pride Power Lift Recliners enable the backrest and footrest to operate independently to achieve various positions — including TV recline, full recline, zero gravity, and Trendelenburg.

Bolster Pillows

Eggplant ...................... $50Part: UPSBOLT1591

Godiva ......................... $50Part: UPSBOLT1590

Charcoal ...................... $50Part: UPSBOLT1588

Navy ............................. $50Part: UPSBOLT1587

Cashmere .................... $50Part: UPSBOLT1589

Saratoga Fabrics

Lexis Sta-Kleen® Fabrics

Black ............................ $50Part: UPSBOLT1582

Mushroom ................... $50Part: UPSBOLT1585

Burgundy .................... $50Part: UPSBOLT1583

Chestnut ...................... $50Part: UPSBOLT1584

Crypton® Aria Fabrics

Espresso ..................... $50Part: UPSBOLT1576

Cool Grey .................... $50Part: UPSBOLT1581

Red ............................... $50Part: UPSBOLT1579

Sand ............................. $50Part: UPSBOLT1580

Buff ............................... $50Part: UPSBOLT1198

Fudge ........................... $50Part: UPSBOLT1197

Garnet .......................... $50Part: UPSBOLT1199

Charcoal ...................... $50Part: UPSBOLT1586

Pecan ........................... $50Part: UPSBOLT1206

Ultraleather™ Fabrics

*Pride® Power Lift Recliners are FDA Class II Medical Devices designed to aid individuals with mobility impairments.

https://www.youtube.com/user/PrideMobilityhttps://www.facebook.com/PrideMobilityProductsCorphttps://www.twitter.com/PrideMobilityhttps://www.instagram.com/pridemobilityproducts/

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oasis collection order form - pride mobility products corp. · 2021. 1. 6. · the oasis collection...

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