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“Standard Offset Walking Cane Adjustable Aluminum” has been added to your cart. Continue shopping

“Ice It! B-Pack” has been added to your cart. Continue shopping

Product	Price	Quantity	Subtotal
Standard Offset Walking Cane Adjustable Aluminum	$35.99	Standard Offset Walking Cane Adjustable Aluminum quantity	$35.99
Ice It! B-Pack	$14.55	Ice It! B-Pack quantity	$14.55

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Subtotal	$50.54
Total	$50.54

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First Name Last Name

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Mediciad

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Other

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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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