Option 1 - Request an Air Mattress

Option 1 - Request an Air Mattress

Please note there is a 2pm cut off for next working day delivery

Date*

Care Home Name*

Post Code*

Contact Name*

Telephone Number*

Email*

Preferred Mattress Type*

Select or enter value

Confirm you have followed the mattress selection guide on the previous page

This helps you select either an active mattress or a high specification foam mattress (Viscoflex Evolutive) to best meet your resident's needs

Care Home Group.

Select or enter value

Document References CP66 / Document Version 1/ Date 13/03/2023/ Owned By Oskar Solvason / Approved by John Gerrard

Change History Document Version 1

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