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Product
Price
Quantity
Subtotal
OPTIFLEX S SHOULDER CPM
$
0.00
OPTIFLEX S SHOULDER CPM quantity
$
0.00
KINETIC MAESTRA HAND & WRIST CPM
$
0.00
KINETIC MAESTRA HAND & WRIST CPM quantity
$
0.00
AFO (Ankle-Foot Orthosis) Brace
$
39.99
AFO (Ankle-Foot Orthosis) Brace quantity
$
39.99
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Order Summery
Subtotal
$
39.99
Total
$
39.99
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Workers Comp Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
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Other Claim Insurance Purchase Request
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(Required)
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(Required)
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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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KINETIC MAESTRA HAND & WRIST CPM
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