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

“I have a son that is 7 with C.P. (cerebral palsy). I heard about FODAC through his therapist. We were so blessed to hear that we could get a chair for him. (If) we hadn’t heard about FODAC, we wouldn’t have been able to afford to get him one.”

Brittany Carr, mother of Brett Carr
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