Live your life free from pressure injuries with the Aquila SofTech wheelchair cushion system.

Order Your Custom SofTech Wheelchair Cushion Today

The SofTech wheelchair cushion is a completely self-contained system with the electronics built into the cushion, rather than in a separate controller like our popular APK2 cushion system. Like the APK2, the SofTech wheelchair seating system is designed to prevent and treat pressure ulcers while stimulating circulation. The SofTech seating system costs $4,730 and is coded E2609 with HCPCS.

The SofTech wheelchair seating system includes:

The custom wheelchair cushion, built and programmed specifically for each client
Cushion Cover
Smart Charger

Please make sure that you fill out the order form as thoroughly as possible.

You can also order your custom SofTech wheelchair cushion using the downloadable SofTech PDF Order Form.

Bill To Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
E-mail Address*
Shipping Information
Is the Shipping Information the same as the Billing Information?*
- Yes
- No
Is this a Residential Address?*
- Yes
- No
Ship To Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
E-mail Address*
Cushion Information
What is the width of the cushion are you ordering?*

Please give us this measurement in inches.
What is the depth of the cushion are you ordering?*

Please give us this measurement in inches.
Which cover do you want included with the system?
Each cushion purchase comes with a cushion cover. You can only choose one. You may purchase additional covers below.
Cushion Accessories
Additional fees apply.
Which additional accessories would you like?
- Positioning Pad ($125)
- Moisture Control Unit ($250)
Would you like any ADDITIONAL 4-Way Stretch Breathable Cushion Covers?*
- Yes
- No
How many additional 4-Way Stretch Breathable Cushion Covers?*

$130.00 each
Would you like any ADDITIONAL Incontinence Cushion Covers?*
- Yes
- No
Note: Incontinence cushion covers do not work with the Moisture Control Unit.
How many ADDITIONAL Incontinence Cushion Covers?*

$130.00 each
Would you like to purchase a 1-year extended warranty for $450?*
- Yes
- No
Client Information
This information is necessary to design a system specifically to your needs. Any information provided to Aquila Corporation will be kept confidential.
Client Name*
Date of Birth*
MM slash DD slash YYYY
Client Weight - Pounds*
Client Height - Feet*
Client Height - Inches*
Diagnosis*
Do you have any sores now?*
- Yes
- No
Have you had a flap surgery?*
- Yes
- No
Are you scheduled for flap surgery?*
- Yes
- No
Flap Surgery Date*
MM slash DD slash YYYY
Will the cushion sit directly on a metal seat pan?*
- Yes
- No
Do you have prominent ischial bones?*
- Yes
- No
Does your wheelchair have stand-up capabilities?*
- Yes
- No
Does your wheelchair tilt?*
- Yes
- No
What percentage of the time are you in tilt?*
Do you have sensation in your posterior area?*
- Yes
- No
- Some
Additional information on your condition or sores.
Current Cushion & Wheelchair Information
What is the width of your current cushion?*

Please give us this measurement in inches.
What is the depth of your current cushion?*

Please give us this measurement in inches.
What kind of cushion are you currently using?*
What is the width between the arm rests of your wheelchair (seat pan width)?*

Please give us this measurement in inches.
What is the depth of your wheelchair front to back (seat pan depth)?*

Please give us this measurement in inches.
Pressure Sore Location & Information
Providing the exact location of your pressure ulcers or areas of concern in relation to your cushion is required. If pressure sores or areas of concern are present, orders will not be accepted without this information.

Sore A

Sore A Stage*
Sore A Length in Centimeters*
Sore A Width in Centimeters*
Provide the exact location of your sore in relation to your cushion. Please list measurements for each sore.*
These measurements are very helpful for us in creating your cushion. In the space below, provide the location of the center of your pressure ulcer/area of concern. How many inches from the back or front of the cushion is the center of the pressure ulcer/area of concern? How many inches from the left or right of the cushion is the center of your pressure ulcer/area of concern?

Sore B

Sore B Stage
Sore B Length in Centimeters
Sore B Width in Centimeters
Provide the exact location of your sore in relation to your cushion. Please list measurements for each sore.
These measurements are very helpful for us in creating your cushion. In the space below, provide the location of the center of your pressure ulcer/area of concern. How many inches from the back or front of the cushion is the center of the pressure ulcer/area of concern? How many inches from the left or right of the cushion is the center of your pressure ulcer/area of concern?

Sore C

Sore C Stage
Sore C Length in Centimeters
Sore C Width in Centimeters
Provide the exact location of your sore in relation to your cushion. Please list measurements for each sore.
These measurements are very helpful for us in creating your cushion. In the space below, provide the location of the center of your pressure ulcer/area of concern. How many inches from the back or front of the cushion is the center of the pressure ulcer/area of concern? How many inches from the left or right of the cushion is the center of your pressure ulcer/area of concern?

Sore D

Sore D Stage
Sore D Length in Centimeters
Sore D Width in Centimeters
Provide the exact location of your sore in relation to your cushion. Please list measurements for each sore.
These measurements are very helpful for us in creating your cushion. For example, how many inches from the right or left of the cushion and how many inches from the front or rear of the cushion is the center of your sore?

If you have had a recent Flap Surgery please describe the location.*
If you have areas of sensitivity please describe the location.
Authorization
Advisory Note: Please be advised that healing may occur very quickly. Please limit your sitting time and gradually increase sitting time as advised by your physician. Tissue health is the responsibility of each individual. It is also up to the client to have skin inspected at least once a day for any signs of redness or changes to the skin. Return Policy: There is a 30-day return policy from the day the system was delivered to the dealer or to the client for retail orders. A 35% Customization Recovery free of the total will apply. An RMA number must be issued for any returned products RMAs: If an RMA number is issued, regardless of warranty status, customers are required to pay for and arrange shipping to Aquila Corporation. International Sales: All international sales are final. Insurance: Aquila does not bill insurance. Payment: Aquila will be calling you to request your credit card information.
Signature*
Date*
MM slash DD slash YYYY
How did you hear about Aquila and our SofTech Seating System?
- Magazine Advertisement
- Website Advertisement
- Web Search
- Referral from Clinician
- Recommendation from Family or Friend
- Trade Show or Presentation
Name of Magazine*
Name of Website*
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Order Your Custom SofTech Wheelchair Cushion Today

Shipping Information

Cushion Information

Cushion Accessories

Client Information

Current Cushion & Wheelchair Information

Pressure Sore Location & Information

Authorization

Get Relief & Healing from Pressure Injuries