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“Adjustable Back Support with Tension Straps” has been added to your cart.
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Product
Price
Quantity
Subtotal
Blue Jay Lumbar Support
$
60.00
Blue Jay Lumbar Support quantity
$
120.00
Adjustable Back Support with Tension Straps
$
39.99
Adjustable Back Support with Tension Straps quantity
$
39.99
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Order Summery
Subtotal
$
159.99
Total
$
159.99
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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.
Name
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(Required)
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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.
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Other Claim Insurance Purchase Request
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Name
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Last Name
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Email
(Required)
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DD dash MM dash YYYY
Insurance Type
Medicare
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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