weighted equipment - email form

Fill in the necessary measurements and information below, and simply "Submit" it to us.  If you have any questions, feel free to call or email us. We will be in touch.

Please complete the form below

Your Name *
Your Name
Client's Name *
Client's Name
Weighted Blanket
Top of shoulder to waist
Chest circumference beneath armpits
Weight recommended by therapist
Lap Pad
Anything else you want us to know