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“Ice It!® ColdCOMFORT System with Adjustable Strap” has been added to your cart.
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Product
Price
Quantity
Subtotal
Pulse Oximeter Pediatric Oximeter
$
29.34
Pulse Oximeter Pediatric Oximeter quantity
$
29.34
Ice It!® ColdCOMFORT System with Adjustable Strap
$
33.18
Ice It!® ColdCOMFORT System with Adjustable Strap quantity
$
33.18
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Subtotal
$
62.52
Total
$
62.52
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Workers Comp Claim Insurance Purchase Request
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Other Claim Insurance Purchase Request
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Name
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Mediciad
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Other
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(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
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