Equipment Loan Form
OT & PT Services
Complete this form when equipment is placed in a
home, school, or other learning environment. Its
purpose is to maintain the inventory, note the
condition, and recommend proper equipment use. A
copy is left at the placement site, one is sent to
the PT/OT secretary, and one is kept by the
therapist. Review the Equipment
Loan Policy.
Get
Adobe Acrobat Reader free program to view,
navigate, and print PDF files.
View & Print Equipment
Loan Form (PDF file)

Updated 3-25-00
|