Doggon' Wheels - Wheelchairs for pets, pet wheelchairs, dog carts, mobility aids for pets

REFURBISHED CHAIR & TRIED-ON INFORMATION FORM
This form will take personal information about you and your pet.
No payment information is required to look for a refurbished wheelchair or previously tried-on item.
When completed, hit the Submit Request button at the bottom. We will respond according to your requests.

ABOUT YOU Please fill in all fields so we can contact you should we need more information. Fields with an * are required.
*Your Name:		*Email Address:
*Mailing Address:		*City, State, Zip:
*Telephone w/Area Code:		Best Time to Call:

ABOUT YOUR PET
Please give us as much information as you can about your pet.
*Pet's Name:		*Pet Breed:
*Pet's Age:		*Pet's Weight:
*Pet's Gender:		*Cause of Disability:
Date/Onset of Disability:		Pet had Spinal Surgery?	Yes No
Other Health Conditions:		Does Pet Get Regular Exercise?	Yes No
Does Pet Stay Mainly Indoors?	Yes No	Terrain Pet Plays On (lawn, sand, carpet, hardwood floors, etc.)
Are Pet's Front Legs Strong?	Yes No	Does Pet Have Any Use of Back Legs?	Yes No
Are you looking for a Refurbished Wheelchair? Yes No		New Wheelchair if Refurbished is unavailable? Yes No
Please use this area for additional information or requests.

If you are looking for a refurbished wheelchair, quad chair, front-end extensions or previously tried-on support slings, you MUST send the measurements needed for YOUR pet! Click HERE for the Measurements Chart. Click HERE for measurement taking photos.
1. Top of Hips to Floor		2. Top of Shoulders to Floor
3. Hips to Shoulders		4. *Girth of Chest Behind Legs
5. *Girth of Upper Thigh		6. Width Across Hips
7. Width Across Shoulders		8. *Girth of Abdomen
9. *Girth of Upper Front Leg		10. *Width Between Arm Pits
* Only 4, 5, 8, 9 and 10 are needed for Support Slings Please send all measurements Quad Chairs, Front Extensions and Wheelchairs

I have read and agree to the Refund and Returns Policy* Indicate YES by checking box

We ship using UPS Ground. Call or email for other options.

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Doggon' Wheels ~ 115 Commercial Drive, Unit A - Bozeman, MT 59715
1-888-736-4466 (406-522-1510) ~ fax 1-888-236-4329 (406-522-0188) ~ doggon@doggon.com