DISABLED WOMEN'S SEXUAL AND REPRODUCTIVE HEALTH RESOURCE PACKET Logo: A simple line drawing of a building, and a circle within the building. The circle is divided into four sections: A) the upper left quarter is a pregnant blind woman holding a white cane; B) the upper right quarter is an adult wheelchair user with an arm around a small child; C) the lower right quarter is a condom, a pack of birth control pills, and a calendar; and, D) the lower left quarter are three hands spelling out the word "sex" in sign language. AMERICANS WITH DISABILITIES ACT AND REPRODUCTIVE HEALTH PROJECT California Family Health Council Satellite Office - 1314 Lincoln Ave., San Jose, CA 95125 Voice: (408) 283-9226; Fax: (408) 283-9188; E-Mail:bfwaxman@aol.com C a l i f o r n i a .Family Health Council AMERICANS WITH DISABILITIES ACT REPRODUCTIVE HEALTH PROJECT California Family Health Council (CFHC) has administered government funds for family planning and coordinated reproductive health care services in California for over fourteen years. CFHC garners, manages, and directs state and federal funding to approximately 77 family planning agencies serving nearly 600,000 clients at more then 240 clinic sites statewide. In April 1993, the Family Health Council established the Americans with Disabilities Act Project (the ADA Project) through a grant made by the Office of Population Affairs (OPA), Public Health Service of the U.S. Department of Health and Human Services. The Council hired as project director, Barbara Waxman Fiduccia, a disabled woman who has been specializing in disabled women's health for 20 years. Since its inception in 1968, the Council has provided leadership in the reproductive health services field by ensuring the delivery of comprehensive, voluntary, high quality services, researching new contraceptive methods, and encouraging innovative service delivery to serve those in need of subsidized services. The Council is responding to the high rate of unemployment and poverty among disabled women by providing training and technical assistance to health service providers throughout the country. This, in turn, will enable disabled people to receive accessible and affordable services. The ADA Project's overall goals are to enable publically funded health clinics in the U.S. to provide accessible medical, educational, and counseling services to individuals with a wide variety of disabilities: mobility, hearing, visual, and cognitive, and chronic health conditions. By the Council advancing accessible services, disabled women and men will fully and equally participate in the health community. The ADA Project will help transform the lives of disabled people, who for far too long have been prevented from making informed and voluntary decisions about their health care and futures. The ADA Project's goals are: to assist publically funded health organizations to comply with the ADA; to enable administrative, medical, educational, and counseling staff of health organizations to provide accessible and non-discriminatory services to disabled individuals; to enable disabled women and men to fully and equally receive publicly funded health services and to make informed and voluntary decisions about their health; and, to create linkages between the disability and health services system and encourage the integration of disabled people in all levels of health policy making and employment. To accomplish those goals, the ADA Project's services include: providing assistance to health organizations on ADA program, physical and communication access, and employment non-discrimination policies; establishing ADA quality improvement monitoring protocols for publicly funded health organizations; evaluating program, physical, and communication accessibility of family planning clinics according to ADA requirements. providing training to medical, educational, and counseling staff of health organizations about disability and pregnancy and prenatal services, birth control, fertility, sexual functioning, physical exam, informed consent, outreach, and bioethics; maintaining an internationally utilized information and referral service for disabled people's sexual, reproductive and family life rights. For further information or technical assistance please contact: Barbara Waxman Fiduccia, Project Director Americans with Disabilities Act Project California Family Health Council Satellite Office 1314 Lincoln Avenue, Suite C San Jose, CA 95125 Voice: (408) 283-9226 Fax: (408) 283-9188 E-Mail: bfwaxman@aol.com T H E A C C E S S I B L E C L I N I C Manual & Video AVAILABLE FALL 1997! "The Accessible Clinic" Manual This comprehensive manual contains checklists for evaluating your health facility's program, physical, and communication accessibility. Also included is an overview of the history and regulations of the Americans with Disabilities Act (ADA), along with tools to plan for change. (Also available on ASCII). "The Accessible Clinic" Video This companion video provides a tour of health facilities from the point-of-view of a variety of disabledindividuals. The tour examines a number of facilities from the street/parking-lot/bus-stop and continuesthrough the interior, focusing on physical accessibility (waiting room, exam room, exam table, labs, andrest rooms) and communication accessibility (Braille, sign language interpreters, and large print). _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Yes! I would like to reserve (prices are not yet determined): copy/copies of "The Accessible Clinic" only. copy/copies of the companion video only. copy/copies of "The Accessible Clinic" and its companion video._____ standard _____ large print _____disk Name Organization Address Phone Fax E-Mail Please mail this form to: Barbara Waxman Fiduccia Americans with Disabilities Act Project California Family Health Council Satellite Office - 1314 Lincoln Avenue, Suite C San Jose, CA 95125 Voice: (408) 283-9226 Fax: (408) 283-9188 E-Mail: bfwaxman@aol.com For Disabled Women and Their Health Service Providers New Booklets Available in Late 1997! Birth Control Choices for Disabled People Disabled Mothers and Prenatal Services Legal and Practical Guidelines for Informed Consent Social and Ethical Issues of Reproduction and Disability the Accessible Exam Reachout into the Disability Community _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Yes! I would like to reserve (prices are not yet determined): copy/copies of Birth Control Choice for Persons with Disabilitiescopy/copies of Disabled Mothers and Prenatal Servicescopy/copies of Legal and Practical Guidelines for Informed Consent____ copy/copies of Social and Ethical Issues of Reproduction and Disability _____copy/copies of the Accessible Exam _____copy/copies of Reachout into the Disability Community_____ standard _____ large print_____disk Name Organization Address Phone Fax E-Mail Please return this form to: Barbara Waxman Fiduccia Americans with Disabilities Act Project California Family Health Council Satellite Office - 1314 Lincoln Avenue, Suite C San Jose, CA 95125 Voice: (408) 283-9226 Fax: (408) 283-9188 E-Mail: bfwaxman@aol.com C a l i f o r n i a .Family Health Council ADA AND REPRODUCTIVE HEALTH PROJECT BIBLIOGRAPHY REPRODUCTIVE HEALTH SERVICES THE ACCESSIBLE CLINIC MANUAL AND VIDEO Americans with Disabilities Act Project, California Family Planning Council, 1997 ACCESS TO PUBLIC AND PRIVATE HEALTH CARE SOURCES National Rehabilitation Hospital's ADA Health Care Facility Access Project, The National Rehabilitation Hospital, 102 Irving Street, NW, Washington D.C., 20010. THE ADA: ANSWERS TO QUESTIONS COMMONLY ASKED BY HOSPITALS AND HEALTH CARE PROVIDERS National Rehabilitation Hospital's ADA Health Care Facility Access Project, The National Rehabilitation Hospital, 102 Irving Street, NW, Washington D.C., 20010. TABLE MANNERS: A GUIDE TO THE PELVIC EXAMINATION FOR DISABLED WOMEN AND HEALTH CARE PROVIDERS Planned Parenthood Alameda/San Francisco, 1991 UP AGAINST EUGENICS: DISABLED WOMEN'S CHALLENGE TO RECEIVE REPRODUCTIVE HEALTH SERVICES Waxman B, Sexuality and Disability. Vol. 12, No. 2, 1994, pps. 155-172 BARRIERS TO REPRODUCTIVE HEALTH MAINTENANCE AMONG WOMEN WITH PHYSICAL DISABILITIES Nosek MA, Young ME, Rintala DH, Howland BA, Foley CC, Bennett JL. J Women's Health, Vol. 4, No. 5: 505-518, 1995. REPRODUCTIVE ISSUES FOR PERSONS WITH PHYSICAL DISABILITIES Haseltine, F. P.; Cole, S. S.; Gray, D. B.; Paul H. Brookes Publishing, Baltimore, MD, 1993 WOMEN WITH PHYSICAL DISABILITIES: ACHIEVING AND MAINTAINING HEALTH AND WELL-BEING Krotosky D, Nosek M.A, Turk M.A (eds.) Brookes Publishing, 1996 ISSUES IN REPRODUCTIVE MANAGEMENT Neinstein L S Thieme Medical Publishers, New York, 1994 MADNESS AND THE LOSS OF MOTHERHOOD: SEXUALITY, REPRODUCTION, AND LONG-TERM MENTAL ILLNESS Apfel RJ and Handel MH, Am. Psychiatric Press, Washington, DC, 1993 DEAF PATIENTS: SPECIAL NEEDS, SPECIAL RESPONSES DiPietro, L., Washington, DC: The National Academy of Gallaudet University, 1979. (booklet and videotape) DEAF PATIENTS ACCESS TO CARE DEPENDS ON STAFF COMMUNICATION Golden, P., and Ulrich, M., Hospitals 52 (1978): 86-90 WOMEN WITH DISABILITIES: A SURVEY OF HEALTH-RELATED EXPERIENCES The Disabled Persons Assembly New Zealand, P.O. Box 143, 629 Main Street, Palmerston North, 1989 SPECIAL SISTERS: HEALTH ISSUES FOR MENTALLY RETARDED WOMEN Off Our Backs, Page 26-27, May 1981 GYNECOLOGICAL HEALTH CARE OF WOMEN WITH DISABILITIES Beckman, C.R.B. et al, Obstet Gynecol 74: 75-79, July 1984 A MODEL CLINIC APPROACH TO THE REPRODUCTIVE HEALTH CONCERNS OF THE MENTALLY HANDICAPPED Elkins, T.E. et al, Obstet Gynecol 68: 185-188, 1986. FAMILY PLANNING SERVICES FOR PERSONS HANDICAPPED BY MENTAL RETARDATION David, H.P., Smither, J.D., Friedman, E., AJPH 66: 1053-1057, 1976. FAMILY PLANNING FOR THE MENTALLY HANDICAPPED David, H.P. and Linder, M.A., Bull World Health Organ 52: 155-161, 1975. FAMILY PLANNING NEEDS OF FEMALE CHRONIC PSYCHIATRIC PATIENTS Cloverdale, J.H. and Aruffo, J.A., Am J Psychiatry 146: 1489-1491, 1989. DISABILITY AND THE MEDICAL SYSTEM Boston Women's Health Book Collective, Ms. Magazine, Sept/Oct 1991. PROTECTING REPRODUCTIVE HEALTH AND CHOICE Waxman, B., West J Med 154: 629, May 1991. OVERVIEW OF WOMEN WITH DISABILITIES: SOCIAL EPIDEMIOLOGY AND ACCESS TO CARE Altman BM. Center for General Health Services Intramural Research, Agency for Health Care Policy and Research, unpublished. GYNECOLOGIC HEALTH CARE OF WOMEN WITH DISABILITIES Beckmann CRB, Gittler M, Barzansky BM, Beckman CA Obstet Gynecol. Jul; 74:75-79, 1989. PREGNANCY AND PARENTING MOTHER TO BE: A GUIDE TO PREGNANCY AND BIRTH FOR WOMEN WITH DISABILITIES Rogers, J. and Matsumara, M., Demos Publications, 1991. THE BABY CHALLENGE: A HANDBOOK ON PREGNANCY FOR WOMEN WITH A PHYSICAL DISABILITY Campion, Mukti Jain, Routledge, 1990. PREGNANCY, ORAL CONTRACEPTIVES, AND MULTIPLE SCLEROSIS Posner, S., and Raum, N.E., Acta Neurol Scandinav 59: 108-118, 1979. WHEN A PARENT IS MENTALLY RETARDED Whitman, B. and Accardo, P., Paul Brookes Publishing Company, 1990. A MOTHER'S TOUCH: THE TIFFANY CALLO STORY Matthews, J., Henry Holt and Company, 1992. PAST DUE: A STORY OF DISABILITY, PREGNANCY, AND BIRTH Finger, A., Seal Press, 1990. ADAPTIVE PARENTING EQUIPMENT: IDEA BOOK I Moss, A et al: Research and Training Center on Adults with Disabilities, Through the Looking Glass, Berkeley, CA 1995 COPING WHEN A PARENT HAS MULTIPLE SCLEROSIS Cristall, Barbara, New York, The Rosen Publishing Group, Inc., 1992. INFLUENCE OF DISABILITY ON PREGNANCY AND MOTHERHOOD Madorsky, J., Western J. Of Medicine, 1995, Vol. 162, No. 2 GUIDELINES FOR SERVING DISABLED WOMEN Carty, E., Midwifery Today, Autumn 1993, No 27 COMPREHENSIVE CARE OF PREGNANT MENTALLY ILL WOMEN Miller, L., J. of Mental Health Admin., Summer 1992, 19:2 CLASSES FOR THE DISABLED Asrael, W. And Kesselman, S., Childbirth Educator, Winter 1982/83 DISABLED WOMEN AND CHILDBEARING: THE NURSE'S ROLE Asrael, W., NAAGOG Update Series, Lesson 8, Volume 1 TODAY'S CHALLENGE: CHILDBIRTH EDUCATION FOR WOMEN WHO ARE PHYSICALLY DISABLED NAACOG Update Series, Lesson 11, Vol. 5 PREGNANCY COMPLICATED BY MATERNAL SPINA BIFIDA Farine, D., J. of Reproductive Med., Vol. 33, No. 3, March 1988 REPRODUCTIVE RIGHTS AND TECHNOLOGY SPECIAL ISSUE: WOMEN WITH DISABILITIES: REPRODUCTION AND MOTHERHOOD Sex and Disability, Vol 12, Number 2, Summer 1994, New York: Human Sciences Press, Inc. SEXUALITY, LAW, AND THE DEVELOPMENTALLY DISABLED Haavik, S.F. and Menninger, K.A., Brookes Publishing, 1981. STERILIZATION OF MENTALLY RETARDED PERSONS: REPRODUCTIVE RIGHTS AND FAMILY PRIVACY Scott E. S. , Duke Law Journal [Vol. 1986-806]. STERILIZATION OF PEOPLE WITH DISABILITIES: ISSUES, PERSPECTIVES, AND CASES Brantlinger, E., Auburn House, Westport, Conn., 1995 THE SURGICAL SOLUTION: A HISTORY OF INVOLUNTARY STERILIZATION IN THE UNITED STATES Reilly, P.R., Baltimore: Johns Hopkins University Press, 1991. THE STERILIZATION OF CARRIE BUCK Smith, J. David and Nelson, K. Ray, Far Hills, New Jersey, New Horizon Press, 1989. NEW REPRODUCTIVE TECHNOLOGIES Canadian Disability Rights Council and DisAbled Women's Network Canada (Eds.), 926-294 Portage Avenue, Winnipeg, Manitoba, R3C 0B9, 1991. REPRODUCTIVE TECHNOLOGY AND DISABILITY Asch, A. in Cohen, S. and Taub, N. (eds.), Reproductive Laws for the 1990's, New Jersey, Humana Press, 1989. PRENATAL SCREENING AND DISCRIMINATORY ATTITUDES ABOUT DISABILITY Saxton, M., in Baruch, E.H. D'Adamo, A.F., and Seager, J. (eds.), Embryos, Ethics and Women's Rights, New York: Harrington Park Press, 1988. SEX EDUCATION JOURNAL OF SEX AND DISABILITY New York: Human Sciences Press, Inc. UNDERSTANDING & EXPRESSING SEXUALITY Monet-Haller, Rosalyn Kramer, Baltimore, Paul H. Brookes Publishing Company, 1992. CHOICES: A GUIDE TO SEX COUNSELING WITH PHYSICALLY DISABLED ADULTS Neistadt, M. E.; Freda, M.; Robert E. Krieger Publishing Company, Malabar, FL, 1987 ENABLING ROMANCE: A GUIDE TO LOVE, SEX, AND RELATIONSHIPS FOR THE DISABLED Klein, E. and Kroll, K., Crown Publishing, 1992. AN EASY GUIDE TO LOVING CAREFULLY FOR MEN AND WOMEN Stigall, L., Kempton, W., and McKee, L., ETR Associates Publications, P.O. Box 1830, Santa Cruz, CA 95061-1830, (800) 321-4407, 1985. TEACHING PERSONS WITH MENTAL RETARDATION ABOUT SEXUALITY AND RELATIONSHIPS: AN INSTRUCTIONAL GUIDE Kogut, June and Vilardo, Susan, Planned Parenthood of Connecticutt, 1993. TAKING CHARGE TEENAGERS TALK ABOUT LIFE & PHYSICAL DISABILITIES Kriegsman, Kay H., Zaslow, Elinor L., and D'Zumura-Rechsteiner, M.A., eds., Woodbine House, Inc., 1992 LIVING YOUR OWN LIFE Minnessota: PACER Center, Inc., 1993. SPEAK UP FOR HEALTH: A HANDBOOK FOR PARENTS Minnessota: PACER Center Inc., 1993. SEXUAL CONCERNS WHEN ILLNESS OR DISABILITY STRIKES Sandowski, C. L.; Charles C. Thomas, Springfield, IL, 1989 SEXUALITY AND THE PERSON WITH SPINA BIFIDA Sloan, Stephen L.,Washington D.C.: Spina Bifida Association of America, 1993. INFORMED CONSENT VIDEO SERIES Videos are available (in English only) on Laparoscopy, LEEP, and Sterilization ($195 each). Available in Spanish and English. Infotronic: 800-992-2040. LIFE HORIZONS I AND II EDUCATIONAL SLIDES andVIDEOS 1) Parts of the Body 2) The Sexual Life Cycle 3) Human Reproduction 4) Birth Control. Stanfield & Co., P.O. Box 1983, Santa Monica, CA 90406, 800-42l-6534. MODELS OF HUMAN GENITAL ANATOMY Jim Jackson and Company, 33 Richdale Avenue, Cambridge, MA 02l40, 6l7-864-9063 AN EASY GUIDE TO LOVING CAREFULLY FOR MEN AND WOMEN Lynn Stiggall, Winifred Kempton, Lyn McKee, rev. 1987., Disability Program Planned Parenthood Shasta-Diablo, 2185 Pacheco St., Concord, CA 94520 (510) 676-0505 DISABLED WOMEN'S EXPERIENCE WOMEN WITH DISABILITIES: ESSAYS IN PSYCHOLOGY, CULTURE, AND POLITICS Fine, M. and Asch, A., Philadelphia PA: Temple University Press, 1988. BRIDGING THE GAP: A NATIONAL DIRECTORY OF SERVICES FOR WOMEN AND GIRLS WITH DISABILITIES Rubin E and Froschl M. Educational Equity Concepts, NY, 1997. BUILDING COMMUNITY: A MANUAL EXPLORING ISSUES OF WOMEN AND DISABILITY Women and Disability Awareness Project, New York City, Educational Equity Concepts, Inc., 1989. IMPRINTING OUR IMAGE Driedger, D. and Grey, S. eds. Charlottetown, Canada: Gnergy Books, 1992. WOMEN AND DISABILITY: THE DOUBLE HANDICAP Deegan MJ and Brooks N (eds.), Transaction Books, New Brunswick, NJ. ABLE LIVES: WOMEN'S EXPERIENCE OF PARALYSIS Morris, J., London: Women's Press, 1989. WOMEN AND DISABILITY Boylan, E., London: Zed Books, 1991. WITH WINGS: AN ANTHOLOGY OF LITERATURE BY AND ABOUT WOMEN WITH DISABILITIES Saxton, M. and Howe, F. (eds.), New York: The Feminist Press, 1987. WITH THE POWER OF EACH BREATH: A DISABLED WOMEN'S ANTHOLOGY Browne, S., Conners, D., and Stern, N. (eds.), Pittsburgh PA: Cleis Press, 1985. DISABLED, FEMALE, AND PROUD Rousso, H., Exceptional Parent Press, 1988 MAGAZINES AND NEWSLETTERS IT'S OK: AN INTERNATIONAL CONSUMER WRITTEN QUARTERLY ON SEXUALITY, SEX, AND DISABILITY Phoenix Counsel, Inc., 1 Springbank Drive, St. Catherine, Ontario, Canada, L2S 2K1 RESOURCEFUL WOMAN: WOMEN WITH DISABILITIES STRIVING TOWARD HEALTH AND SELF DETERMINATION Health Resource Center for Women with Disabilities, Rehab.Institute of Chicago PARENTING WITH A DISABILITY NEWSLETTER Research and Training Center on Adults with Disabilities, Through the Looking Glass, Berkeley, CA DYKES, DISABILITY, AND STUFF P.O. Box 6194, Boston, MA 02114. NATIONAL TECHNICAL ASSISTANCE RESOURCES ADA AND REPRODUCTIVE HEALTH PROJECT California Family Planning Council, Satellite Office, 1314 Lincoln Ave., San Jose, CA 95125, Voice: (408) 283-9226; Fax: (408) 283-9188; E-Mail:bfwaxman@aol.com NATIONAL DISABLED WOMEN'S POLICY PROJECT Center for Women Policy Studies, Satellite Office, 19907 Beekman Place, Cupertino, CA 95014-2452, Voice: (408) 996-7136; Fax: (408) 996-9004; E-Mail:bfwaxman@aol.com RESEARCH AND TRAINING CENTER ON FAMILIES WITH ADULTS WITH DISABILITIES Through the Looking Glass, 2198 6th Street, Suite 100, Berkeley, CA 94707 (510) 848-1112 DEAF COMMUNITY HEALTH PROJECT Greater Los Angeles Council on Deafness, 2222 Laverna Avenue, Los Angeles, CA 90041, (213) 478-8000 - VOICE/TTY, (213) 478-8016 FAX HEALTH RESOURCE CENTER FOR WOMEN WITH DISABILITIES Rehab.Institute of Chicago, 345 East Superior Street, Suite 1562, Chicago, IL 60611, (312) 908-4744 CENTER OF RESEARCH ON WOMEN AND DISABILITIES Baylor College of Medicine, 3440 Richard Ave., Houston, TX 77046 (713) 960-0505 DISABLED WOMEN'S HEALTH PROGRAM Washington Hospital Center, 110 Irving St., N.W., Ste. 5W33, Washington, D.C. 20010, Voice: (301) 587-6396; Fax: (301) 585-5467; E-Mail:welnersmd@aol.com DISABLED WOMEN'S CLINIC Spain Rehabilitation Center, Department of Rehabilitation Medicine, Room 529, 1717 6th Avenue So., Birmingham, AL 35294, Voice: (205) 934-3330 WOMEN WITH DISABILITIES UNITED P.O. Box 1456, Gracie Station, New York, NY 10028. THE COMMITTEE ON SEXUALITY: ADVOCATING FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES 21450 Bear Creek Rd. Los Gatos CA 95030 DISABILITY RIGHTS EDUCATION AND DEFENSE FUND 2212 6th Street, Berkeley, CA 94710, (510) 644-2555. SOCIETY FOR DISABILITY STUDIES Sharon Barnett, Membership Chair; Department of Sociology, Gallaudet University, 8th and Florida NE, Washington, DC 20002. NATIONAL COUNCIL ON INDEPENDENT LIVING 2111 Wilson Boulevard, Suite 405, Arlington, VA 22201, (703) 525-3406. DISABILITY AND BUSINESS TECHNICAL ASSISTANCE CENTERS 1-800-949-4232, to be connected with your regional DABTAC INDEPENDENT LIVING CENTERS (ILCS) To contact your local ILC, call your local office of the state rehabilitation agency, a hospital rehabilitation department, or the Independent Living Research Utilization (ILRU): 2323 S. Shepard, Suite 100, Houston, TX 77019; (713) 520-0232 VOICE, 520-5136 TTY. AIDS PROJECT World Institute on Disability 510 - 16th St., #100, Oakland, CA 94612, (510) 763-4100 DISABILITY PROGRAM Planned Parenthood Shasta-Diablo, 2185 Pacheco St., Concord, CA 94520, (510) 676-0505 AIDS EDUCATION PROJECT, ASSOCIATION OF REGIONAL CENTER AGENCIES 910 K St., Ste. 300, Sacramento, CA 95814, (916) 446-4950 BREAST HEALTH ACCESS FOR WOMEN WITH DISABILITIES Alta Bates Comprehensive Breast Center, 2001 Dwight Way, Berkeley, CA 94704, Voice: (510) 204-1880 The Universally Accessible Examination Table Custom Designed for Wheelchair Users Dr. Sandra Welner, a disabled gynecologist, asked disabled women what would make an exam table more accessible. She incorporated their feedback into the design of a universally accessible exam table: The table lowers to wheelchair height with the press of a lever to allow for easy transfers. The table includes strong, adjustable safety rails on both sides of table, which can be used as grab bars for safety, independence and security. The table has interchangeable foot attachments for choices between regular gynecologic stirrups and custom-designed foot-leg boot supports for women with spastic, contracted, or limited range. The table can accomodate different leg lengths, different knee flexion/extension capacities, and different hip joints abduction/adduction capabilities. The table has 1 drawer in front and 1 drawer on the side. Patented Wheelchair Accessible Power Table Models 4450, 4455 NEW! PHOTO OF TABLE U.S. Patent No. 5507050. Model 4450 4455 (Left Hand Table) Length 55" to 71" 55" to 71" Depth 26" 26" Height 19" to 29" 19" to 29" Accessories: 04 - Safety Strap 089 - Motorized Power Backrest 091 - Pelvic Tilt (controls both sides) 094 - Drawer Warmer 095 - (1) Armboard with (2) brackets 097 - Stainless Steel Pan andCutout 15 - (1) Safety Rail (Order (2) #15 if both sides) Elevated padded foot rest available. Please ask for item number and pricing For further information on purchasing this universally accessible examination table, please contact Dr. Sandra Welner at (301) 587-6396, or E-mail at welnersmd@aol.com DISABLED WOMEN'S SEXUAL AND REPRODUCTIVE RIGHTS To develop socially and sexually To privacy of space, information,and life choices To receive education about sexuality and reproduction To receive health service from providers trained in disability To interact with the person of their choice To choose the person and activity for sex, to marry, or cohabit To safe and voluntary birth control To accessible, safe, and affordable reproductive health services To choose the number, timing , and spacing of their children ---------- End of Document