Release and Waiver of Liability Wheelchair Agreement

Form Template

The Wheelchair Release and Waiver of Liability Agreement mobile app is ideal for clinics, physical therapy offices, and rehabilitation centers renting and leasing wheelchairs.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

The app includes an easy to use waiver of liability agreement that can be tailored to your facility. You can also customize the liability form to include the rental period, waiver clause in case of personal injury, and how rental equipment should be returned.

This liability waiver form is saved in the GoCanvas Cloud after completion. You can also print or email it as a PDF if you need to send it to a Medicaid service provider, long-term care facility, or keep for your records. This app can be downloaded to an iPhone, iPad, or Android device.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
Read More
  • iPhone
  • iPad
  • Android
  • Windows
Read More
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us