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 had trouble with my feet for 30 years. When I was six years old, I had my first operation on both feet. That led to 12 more operations on my right foot, leaving me permanently disabled. I learned to walk 3 times. Now that I have to have an ankle replacement, the wheelchair that FODAC has blessed me with will help me keep mobile. Thank God for FODAC and my life. Thank you, FODAC.”

Lisa ButlerMarietta, Georgia
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