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AADL Order Forms

We are pleased to have some of our products newly listed on the AADL – Alberta Aids to Daily Living. The current approved products include the Aero T, Aero Z, Twist, PDG Eclipse, PDG Stellar GL, PDG Stellar GLT, PDG Bentley, PDG Bentley LT-R, PDG Bentley LT, PDG Fuze T50, and PDG Fuze T50n manual wheelchairs, as well as the F3 Corpus , F5 Corpus, M3 Corpus, M5 Corpus, and M1 power wheelchairs.

AADL order form links

For your convenience, all of the AADL order forms are fillable PDFs. Just save it to your computer, make your selections and email the completed form to sales.ca@permobil.com or fax it to 877-636-8944.

  • F3 Corpus power wheelchair order form – AADL #W688
  • F5 Corpus power wheelchair order form – AADL #W692
  • M3 Corpus power wheelchair order form – AADL #W686
  • M5 Corpus power wheelchair order form – AADL #W687
  • M1 NPO power wheelchair order form – AADL #W695
  • TiLite X manual wheelchair order form – AADL #W333
  • TiLite Z manual wheelchair order form – AADL #W396
  • TiLite Aero T manual wheelchair order form – AADL #W395
  • TiLite Aero Z manual wheelchair order form – AADL #W396
  • TiLite Twist manual wheelchair order form – AADL #W425
  • PDG Eclipse manual wheelchair order form – AADL #W320
  • PDG Stellar GL manual wheelchair order form – AADL #W321
  • PDG Stellar GLT manual wheelchair order form – AADL #W321
  • PDG Bentley manual wheelchair order form – AADL #W322
  • PDG Bentley LT-R manual wheelchair order form – AADL #W340
  • PDG Bentley LT manual wheelchair order form – AADL #W341
  • PDG Fuze T50 manual wheelchair order form – AADL #W653
  • PDG Fuze T50n manual wheelchair order form – AADL #W654

For our Permobil Parts Price List, please click here.

To learn more about the AADL program, please click here.