Pride Mobility Jazzy 600 ES Quick Ship Owner's manual

Brand: Pride Mobility

Model: Jazzy 600 ES Quick Ship

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.

18″W × 18″ – 20″D with 60″ Lap Belt .......................... Standard

Part: SETASMB6895

20″W × 18″ – 20″D with 60″ Lap Belt .......................... Standard

Part: SETASMB6896

Depth-Adjustable, Fold Flat, Limited Recline, High Back

18″W × 16″D with 60″ Lap Belt ............................................................................................................................................................ $450

Part: SETASMB2775

Deluxe Contour, Limited Recline, High Back

Additional lead time may apply.

*16″W × 16″D with 60″ Lap Belt ......................................... $450

Part: SETASMB3178

*16″W × 18″D with 60″ Lap Belt ......................................... $450

Part: SETASMB3179

18″W × 18″D with 60″ Lap Belt .................................. Standard

Part: SETASMB2848

18″W × 20″D with 60″ Lap Belt .................................. Standard

Part: SETASMB3182

*20″W × 18″D with 60″ Lap Belt ......................................... $450

Part: SETASMB3184

*20″W × 20″D 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

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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: _____________________________________

Pride Mobility Jazzy 600 ES Quick Ship Owner's manual

Brand: Pride Mobility

Model: Jazzy 600 ES Quick Ship

Type: Owner's manual

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Pride Mobility Jazzy 600 ES Quick Ship Owner's manual

Pride Mobility Jazzy 600 ES Quick Ship Owner's manual

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