Virtual Mounting Solutions

Order your Virtual Mounting Solutions here

To order your new mounting solution, please complete this form with as much detail as possible. A member of our team will be in touch if we have any questions.

First Name

Last Name

How do you relate to AAC?*

Which role best describes you?*

Organization

Type of Request

Your reference Important! Please mention your internal reference so we can link you to the right case (avoid using identifiable information about the User).

Preferred Language

Country

City

Postal Code

Phone

Who is the VMS Solution for? Please provide the first name and only initials of the last name (e.g. Bob S)

Condition Characteristics E.g. CP / Strong Spastic Movements

The User weighs over 25kg (55lb)

Yes

Wheelchair

Add a wheelchair +

AAC Device

Device Manufacturer and Model

Access methods used?

Is an adapter plate needed?

Yes, my device needs an adapter plate

No, I already have one

Switch / Joystick

Switch/Joystick Manufacturer and Model

Mounting Position

Switch/Joystick Additional Information

I consent to Tobii Dynavox collecting my personal information, including my full name, email address, country, and any uploaded images, as described in the Privacy Notice. I understand that this information may be used to follow up on my request. I also have the right to request the return or deletion of my data and images at any time by contacting privacymanager@tobiidynavox.com.