Let's get you signed up

Thanks for your interest in our emergency services! We're thrilled you're ready to start using them to enhance your independent  living situation. Here's what you need to do to get enrolled.

We encourage all of our clients to review our updated Service Guidelines. We've created these documents to ensure that both our clients and team are treated with respect, while also ensuring quality services for you. Repair Clients are required to sign a waiver before their first repair call. Repeated failures to comply with the rules set in these documents could result in us restricting or terminating the usage of our services. Thanks for your understanding and cooperation.

Repair Liability

Repair clients will be required to sign a release waiver in order to use our services.

 View Contract

Service Guidelines

All clients and team members are expected to adhere to these guidelines.

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Loaner Program

Terms for usage of our loaner equipment. We may charge for damage done to our power chairs.

 View Contract

BRSD Program

An update regarding how you can use BRSD vouchers and future disbursements.

 View BRSD Reminder

To register as a client with us, click the Start My Application button below. Please complete the form to the best of your ability. All information shared is strictly for reporting on our work to The City of Berkeley. Your identity is never shared, only demographics.

Clients that fall below the Federal Poverty Line can also apply for reduced copayments. If our paid services are a significant financial burden, just provide us with two forms of income verification and pay just 7.50 an hour/10 miles of transportation.

Start my Application