Pride Mobility Jazzy 600 ES Quick Ship Owner's manual

Type
Owner's manual
Page 1 of 3INFINFB3725/RevE/03FEB2020
Jazzy
®
600ES
Order Form, Quick Ship
This form is interactive when viewed in Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat.
HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for determining
the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are
MSRP. Prices, specications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available
when congured as a complete power chair. Pride Providers may contact Technical Services for accurate parts ordering.
Thank you for choosing Pride Mobility Products!
Account Number: ___________ Date: ________________
Provider Name: __________________________________
Contact: ________________________________________
Phone: ___________________ Fax: _________________
Email: __________________________________________
PO Number: _____________________________________
Marked for: _____________________________________
Ship to Address: _________________________________
City: _____________________ State: ______ Zip: ______
600 ES
Jazzy 600ES 2S-C, Cardinal Red .................................. $5,099
Part: Jazzy600 ES 2S-C. HCPCS: K0823
Captain Seating
Jazzy 600ES 2S-SS, Cardinal Red ................................ $5,099
Part: Jazzy600 ES 2S-SS. HCPCS: K0822
Solid Seat Pan Seating
BASE MODEL
REQUIRED. Select a power base. Weight capacity: 300 lbs. Find more details and specications at pridemobility.com/jazzy-600-es.
SEATING
REQUIRED. Select one seat. Seats come with a 60″ lap belt.
18W × 1820″D with 60″ Lap Belt .......................... Standard
Part: SETASMB6895
20″W × 18″ 20D with 60″ Lap Belt .......................... Standard
Part: SETASMB6896
Depth-Adjustable, Fold Flat, Limited Recline, High Back
18W × 16D with 60″ Lap Belt ............................................................................................................................................................ $450
Part: SETASMB2775
Deluxe Contour, Limited Recline, High Back
Additional lead time may apply.
*16W × 16D with 60″ Lap Belt ......................................... $450
Part: SETASMB3178
*16W × 18D with 60″ Lap Belt ......................................... $450
Part: SETASMB3179
18W × 18D with 60″ Lap Belt .................................. Standard
Part: SETASMB2848
18W × 20″D with 60″ Lap Belt .................................. Standard
Part: SETASMB3182
*20W × 18D with 60″ Lap Belt ......................................... $450
Part: SETASMB3184
*20W × 20D with 60″ Lap Belt ......................................... $450
Part: SETASMB3185
Deluxe Contour, Limited Recline, High Back with Solid Seat Pan
Additional lead time may apply.*
Pride
®
Mobility Products Corporation
182 Susquehanna Ave., Exeter, PA 18643
Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com
Solid Seat Pan Seating
Captain Seating
INTRODUCTION
Standard Features
Mid-wheel drive
Active-Trac® suspension
Foot platform
50-amp Dynamic Shark joystick
In-line joystick mounting bracket
5-amp o-board charger
14″ at-free drive wheels
Page 2 of 3INFINFB3725/RevE/03FEB2020
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Cup Holder — Style B .......................................................... $35
Part: ACCASMB2287
Weather Cover, Large, Black ............................................ $202
Part: ACCCOVR1021
Flag Holder ........................................................................... $25
Part: ACCASMB1930
Saddle Bag (12.5× 9.875″) ................................................. $35
Part: DWR1020D010
Bell-Shaped Foot Platform ............................................... $235
Part: RIGASMB7120041
XLR USB Charger ................................................................ $38
Part: ACC1704791
Unoccupied Transit Kit ..................................................... $300
Part: MEC133599
ACCESSORIES
Optional.
Swing-Away Leg Rest with 7.25× 6″ Foot Plates (pair) ...$162
Part: RIG133656
Swing-Away Leg Rest with 8.5× 6″ Foot Plates (pair) ..$162
Part: RIG133659
Elevating Leg Rests with 7.25× 6″ Foot Plates (pair) ... $325
Part: KIT124479. HCPCS: K0195
Elevating Leg Rests with 8.5× 6″ Foot Plates (pair) .... $325
Part: KIT124480. HCPCS: K0195
LEG RESTS
Optional. Some adjustments may be needed upon receipt of the unit.
60° – 90° Swing-Away Leg Rests
Adjustable in 5° increments.
Elevating Leg Rests
Leg Rest Accessories
Residual Limb Support ......................................... $325 ea.
Left part: FRMASMB5301. Right part: FRMASMB5300
HCPCS: E1020
Heel Loops (pair) .................................................................. $50
ELR part: FRMASMB1503. S/A part: FRMASMB7873
HCPCS: E0951
12V, NF-22, 50-Amp ....................................................................................................................................................................... $330 ea.
Part: BATLIQ1018. HCPCS: E2361
BATTERIES
REQUIRED. The Power Chair requires two batteries. The batteries are automatically selected with a Quick Ship order.
ARMRESTS
REQUIRED. The armrests are automatically selected with a Quick Ship order.
Flip-up, Height-Adjustable, Full-Length Armrests ................................................................................................................. $85 ea.
Left part: FRMASMB8614. Right part: FRMASMB8615. HCPCS: E0973
Rear Basket (15.25× 9.75× 9.5) ......................................$118
Part: ACCASMB1914
Cane/Crutch Holder ............................................................ $110
Part: ACCASMB2294. HCPCS: E2207
Oxygen Tank Holder ........................................................... $118
Part: ACCASMB2292. HCPCS: E2208
Walker Holder ......................................................................$103
Part: ACCASMB1912
Back-Mounted Accessories
Optional. Only one back-mounted accessory can be used at a time. Includes mounting bracket and hardware.
Additional Lap Belts
Optional. Seats come with a 60″ lap belt. An additional lap belt may be selected below.
50″ Lap Belt ............ $39.90
Part: ACCBELT1000
70″ Lap Belt ............. $39.90
Part: ACCBELT1003
80″ Lap Belt ............ $39.90
Part: ACCBELT1004
90″ Lap Belt ............ $39.90
Part: ACCBELT1001
Match seat width and depth see cushion order form or
cushion part number:
Non-matching cushion size see cushion order form or
cushion part number:
CUSHION QUICK PICK
Optional. Refer to the specic cushion order form for pricing, sizes, codes, and part numbers. If the cushion size matches the selected seat size,
check Match seat width and depth. If the cushion size diers from the seat size, check Non-matching cushion size. Attach the cushion order
form, or ll in the cushion part number below.
Air Force Patch ............................... $20
Part: ACC140240
Army Patch ..................................... $20
Part: ACC140241
Coast Guard Patch ........................ $20
Part: ACC140239
Marines Patch ................................. $20
Part: ACC140243
Navy Patch ...................................... $20
Part: ACC140244
Purple Heart Patch ........................ $20
Part: ACC140238
Page 3 of 3INFINFB3725/RevE/03FEB2020
REFERENCE ORDER FORMS
Optional. Select below to note that additional order forms will accompany this order form.
JOYSTICK MOUNTING BRACKETS
Optional. The power chair comes with an in-line joystick mounting bracket. Additional brackets may be selected below.
Swing-Away Joystick
In-line Mount (Right)
Swing-Away Joystick
Offset Mount (Right)
BRANCH PATCHES
Optional.
Air Force Patch ............................... $20
Part: ACC140240
Army Patch ..................................... $20
Part: ACC140241
Coast Guard Patch ........................ $20
Part: ACC140239
Marines Patch ................................. $20
Part: ACC140243
Navy Patch ...................................... $20
Part: ACC140244
Purple Heart Patch ........................ $20
Part: ACC140238
Pride
®
Mobility Products Corporation
182 Susquehanna Ave., Exeter, PA 18643
Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com
© 2020 Pride Mobility Products Corp. All rights reserved.
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NOTES
Swing-Away, In-line ..................................................... $245
Left part: ACC148368. Right part: ACC148369
HCPCS: E1028
Swing-Away, 1″ Oset ................................................. $245
Left part: ACC148370. Right part: ACC148371
HCPCS: E1028
See cushion order form
Synergy® Seat (Not a Quick Ship option)
Account Number: ___________ Date: ________________ Marked for: _____________________________________
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Pride Mobility Jazzy 600 ES Quick Ship Owner's manual

Type
Owner's manual

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