Order and Script Forms – Glide Products

Log in

Order and Script Forms

Title

Last updated: July 2026

Order forms must be completed by your Distributor or an Occupational Therapist.

Not all Products may have a Script or Order Form.

Contact Us for more information.

Find your nearest distributor

New Style Script Forms

New style fillable script forms now available for Centro powered wheelchairs. Now combining RNet and Linx options on one form.

Note: To use submit button on form please download form first and use Adobe Acrobat outside of browser.

Centro 2.0

Centro 2.0

Centro 2.0 Colour Guide

An easy reference guide to colours and patterns available for the Centro 2.0.

Centro 2.0 Colour Guide

Centro 2.0 TS

For options of 50 degrees of titl and powered recline

Download Centro 2.0 TS new script form

Centro 2.0 VLS

For options of 50 degrees tilt, vertical lift and powered recline

Download Centro 2.0 Vertical Lift new script form

Centro 2.0 Linx LAR

For options of vertical seat and anterior tilt system.

Download Centro 2.0 Linx LAR

Centro Classic

Centro Classic

Centro Classic TS

For options of 50 degrees of tilt and powered recline.

Download Centro Classic TS new script form

Centro Classic VLS

For options of 50 degrees of tilt and vertical lift, powered recline

Download Centro Classic Vertical Lift new script form

LiNX Centro LA

Anterior tilt, Lift, powered recline, Swing away legrests. Script form currently in old style.
Read More LiNX Centro - VL >

LiNX Centro LC LAR

Anterior tilt, Lift, powered recline, Powered centre mount legrest. Script form currently in old style.

Read More LiNX Centro-LC-LAR >

Centro Bariatric

Centro Bariatric

Centro Classic Bariatric TS

50 deg of Tilt; optional powered recline

Download Centro Baratric TS new script form

Centro Classic Bariatric VLS

45 deg of Tilt, 26cm of vertical lift; optional powered recline

Download Centro Bariatric Vertical Lift new script form

Centro XT

Centro- XT

Centro Classic XT TS

50 deg of Tilt; optional powered recline

Download Centro XT TS new script form

Centro Classic XT VLS

45 deg of Tilt, 26cm of vertical lift; optional powered recline

Download Centro XT Vertical Lift new script form

Old Style Script Forms

Please use old style script forms where new style scripts forms are not available.

Centro 2.0

Centro 2.0

Rnet Standard

For options of 50 degrees of tilt and powered recline. With Rnet controller system.

Download Centro 2.0 Rnet Standard

Rnet Vertical Lift

For options of 50 degrees of tilt and vertical lift, powered recline. With Rnet controller

Download Centro 2.0 Rnet Vertical Lift

Linx Standard

For options of 50 degrees of tilt only, or powered recline and 50 degrees tilt. With Linx controller system.

Download Centro 2.0 Linx Standard

Linx Vertical Lift

For options of 50 degrees of tilt and vertical lift, or powered recline, 50 degrees tilt and vertical lift. With Linx controller system.

Download Centro 2.0 Linx Vertical Lift >

Linx LAR

The Centro 2.0 LAR adds electronic vertical seat and anterior tilt system raising to allow users to adjust the height to be comfortable at a desk, high bench or low coffee table

Download Centro 2.0 Linx LAR >

Centro Classic

Centro Classic

LiNX Centro 50 deg of Tilt; option for Powered recline

Read More LiNX Centro >

LinX Centro VL 50 deg of Tilt, 30cm vertical lift; optional Powered recline
Read More LiNX Centro - VL >

LiNX Centro LA Anterior tilt, Lift, powered recline, Swing away legrests
Read More LiNX Centro - VL >

LiNX Centro LC LAR Anterior tilt, Lift, powered recline, Powered centre mount legrest

Read More LiNX Centro-LC-LAR >

LiNx Centro TSR ER

Read More LiNX Centro TSR ER

Rnet Centro 50 deg of Tilt; option for Powered recline

Read More R-net Centro >

Rnet Centro VL 50 deg of Tilt, 30cm vertical lift; optional Powered recline

Read More R-net Centro- VL >

Centro Bariatric

Centro Bariatric

LiNX Centro Bariatric

50 deg of Tilt; optional powered recline

Read More LiNX Centro - Bariatric >

LiNX Centro Bariatric Vertical Lift

45 deg of Tilt, 26cm of vertical lift; optional powered recline

Read More LiNX Centro Bariatric VL >

R-net Centro Bariatric

50 deg of Tilt; optional powered recline

Read More R-net Centro- Bariatric >

R-net Centro- VL Bariatric

45 deg of Tilt, 26cm of vertical lift; optional powered recline

Read R-net Centro - VL Bariatric >

Centro XT

Centro- XT

LiNX Centro XT

50 deg of Tilt, 30cm vertical lift; optional Powered recline

Read More LiNX Centro- XT >

LiNX Centro XT-VL

50 deg of Tilt, 30cm vertical lift; optional Powered recline

Read More LiNX Centro-XT-VL >

R-net Centro XT
50 deg of Tilt; optional powered recline

Read More R-net Centro - XT >

R-net Centro XT-VL

50 deg of Tilt, 30cm vertical lift; optional Powered recline

Read More R-net Centro - XT- VL >

LightGlide G2 Series

LightGlide

Read more LightGlide >

G2 sports

Read More LightGlide Sports >

G2 Plus

Read More LightGlide Plus >

JoyGlide 16"

Read More JoyGlide 16" >

JoyGlide 24"

Read More JoyGlide 24" >

G2 Cadet Leisure

Read More G2 Cadet Leisure >

HeroGlide Sports (G2 Cadet Leisure Sports)

Read More G2 Cadet Leisure Sports >

HeroGlide Plus (G2 Cadet Leisure Plus)

Read More G2 Cadet Leisure Plus >

SmoothGlide G1 Series

SmoothGlide (G1 Series)

Read More SmoothGlide >

DailyGlide G3

DailyGlide (G3)

Read More DailyGlide >

Read More DailyGlide Outback>

CareGlide ComfortPlus 2

CareGlide ComfortPlus 2

Read More CareGlide >

BoostGlide (power Assist)

BoostGlide (Power Assist)

Read More BoostGlide >

NiftyGlide (G3 Cadet)

NiftyGlide (G3 Cadet)

Read More NiftyGlide >

ElectraGlide (Series 4)

ElectraGlide (Series 4)

Read more ElectraGlide>

TiltGlide (Series 6)

TiltGlide (Series 6)

Read more TiltGlide>

Glide (Series 7)

Glide (Series 7 R-net)

Read More Series 7 R-net >

Glide (Series 7 Dynamic)

Read More Dynamic >

Lateral Support

Lateral Support

Read more Lateral support

FX3D

FX3D Cushion

Apex

Read more Apex Series

Helio C2

Read more Helio C2

Helio Kids

Read more Helio Kids

Helio A7

Read more Helio A7

Move

Veloce

Read more Veloce