Greetings 

A patient of yours, , is seeking the ability to participate in Skills on Wheels, a Riley Hospital and IU Indianapolis partnership. The program teaches wheelchair skills enabling participants to maximize their independence. Please review the attached waiver, indicate if participation is approved/not approved, sign the form, and click submit to return the waiver for our records. In the interim, if you have any questions or concerns, please contact our team at wcskills@iu.edu. Or, reach out to me, Tony Chase, chaseam@iu.edu or (317) 278-9018.

Thank you for you assistance.

Tony Chase, Ph.D.
Skills on Wheels Director
IU Occupational Therapy

Form:

https://iupuishhs-fireform.eas.iu.edu/online/form/index/shhssowmrf