Manual wheelchair self-referral form

The wheelchair and specialist seating service offers manual wheelchairs to assist children and adults dealing with mobility and posture challenges.

Who can use this service

This form is for members of the public who are registered with a Doncaster GP or who are resident in Doncaster, and have a permanent disability, affecting mobility.

Information:

The service is not suitable for individuals requiring exclusively outdoor-powered mobility, or those in nursing or residential homes needing transit wheelchairs only.

Before you start

Our assessments consider an individual's lifestyle, medical conditions, and ongoing requirements to determine the most suitable equipment.

Start now

Other ways to get help

If you are having problems completing our self-referral form please contact us.