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“Drive Medical Steel Rollator with 6″ Wheels” has been added to your cart.
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Product
Price
Quantity
Subtotal
Adjustable Aluminum Cane with Plastic Grip
$
25.00
Adjustable Aluminum Cane with Plastic Grip quantity
$
25.00
Drive Medical Deluxe Dual Trigger Release Folding Walker for Adults
$
63.60
Drive Medical Deluxe Dual Trigger Release Folding Walker for Adults quantity
$
63.60
Drive Medical Steel Rollator with 6" Wheels
$
84.99
Drive Medical Steel Rollator with 6" Wheels quantity
$
84.99
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Subtotal
$
173.59
Total
$
173.59
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No Fault Claim Insurance Purchase Request
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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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(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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Agree
Other 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.
Name
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Mediciad
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Workers Comp
Other
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(Required)
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(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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