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“ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW” has been added to your cart.
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“OPTIFLEX S SHOULDER CPM” has been added to your cart.
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“Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap” has been added to your cart.
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Product
Price
Quantity
Subtotal
Stander EZ Fold N Go Walker
$
139.50
Stander EZ Fold N Go Walker quantity
$
139.50
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW
$
0.00
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW quantity
$
0.00
OPTIFLEX S SHOULDER CPM
$
0.00
OPTIFLEX S SHOULDER CPM quantity
$
0.00
Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap
$
15.00
Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap quantity
$
15.00
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Order Summery
Subtotal
$
154.50
Total
$
154.50
Proceed to checkout
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Agree
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Max. file size: 2 GB.
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Agree
Workers Comp Claim Insurance Purchase Request
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Name
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(Required)
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(Required)
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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.
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Other Claim Insurance Purchase Request
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Name
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DD dash MM dash YYYY
Insurance Type
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Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(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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