Requesting Medical Equipment Is Simple and Easy

Need a wheelchair or other medical item? Just click the PDF form below, print it out, fill it out and either fax it to 770-491-0026 or scan and e-mail it to fodac@fodac.org. We will call you when we have something ready for you and some items do have waiting lists.

Download the form.

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Testimonials

“We are familiar with the good work FODAC does. Their generosity has helped us when our finances would not allow us to purchase a wheelchair at this time.”

Margie GosnellTucker, Georgia
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