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

Order Your SofTech Today

The SofTech 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 seating system is designed to prevent and treat pressure ulcers while stimulating circulation. The SofTech seating system costs $4,300* and is coded E2609 with HCPCS.

The SofTech seating system includes:

The custom cushion, built and programmed specifically for each client
Cushion Cover
Smart Charger
A remote control to operate your system

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

You can also order your SofTech by 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. The minimum size of a SofTech Seating System is 16'' x 16''.
What is the depth of the cushion are you ordering?*
Please give us this measurement in inches. The minimum size of a SofTech Seating System is 16'' x 16''.
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
- Wheelchair Backpack
- Full Alternating Back Pad
- Moisture Control Unit
- Lumbar Cushion
Would you like any ADDITIONAL regular cushion covers?*
- Yes
- No
How many additional regular cushion covers?*
Would you like any ADDITIONAL incontinent cushion covers?*
- Yes
- No
Note: Incontinent cushion covers do not work with the moisture control unit.
How many additional incontinent cushion covers?*
Would you like to purchase a 1-year extended warranty for $350?*
- 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*
Date Format: 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*
Date Format: 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
[ INCLUDE HERE THE IMAGE FROM THE PDF FORMS ]

Sore A

Sore A Stage*
Sore A Length in Centimeters*
Sore A Width in Centimeters*

Sore B

Sore B Stage
Sore B Length in Centimeters
Sore B Width in Centimeters

Sore C

Sore C Stage
Sore C Length in Centimeters
Sore C Width in Centimeters

Sore D

Sore D Stage
Sore D Length in Centimeters
Sore D Width in Centimeters

If you have had a recent Flap Surgery please describe the location.*
If you have areas of sensitivity please describe the location.
Provide the exact location of your sores 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?
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: We have a 30 day return policy minus 35% restocking fee from the day delivered.

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*
Date Format: 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*
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Comments
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Get Relief & Healing from Pressure Injuries

Order Your Pressure Relief Wheelchair Cushion Today

Phone: 608-782-0031
Toll Free: 866-782-9658

3827 Creekside Lane, Holmen, WI 54636
Fax: 608-782-0488
Email: aquila@aquilacorp.com

Resources & Quick Links

Pressure Relief Wheelchair Cushion Order Form
HCPCS Coding & Medicare Coverage
Awards & Licenses
Product Information

Veterans
Helpful Resources
Clinical Studies
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Facility Tour

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