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“OPTIFLEX S SHOULDER CPM” has been added to your cart.
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Product
Price
Quantity
Subtotal
FasciaFix Plantar Fasciitis Relief Sleeve
$
25.00
FasciaFix Plantar Fasciitis Relief Sleeve quantity
$
25.00
DARCO FX Pro Low Profile Walker Boot
$
62.99
DARCO FX Pro Low Profile Walker Boot quantity
$
62.99
Darco Med-Surg Shoe Black Square-Toe
$
19.27
Darco Med-Surg Shoe Black Square-Toe quantity
$
19.27
OPTIFLEX S SHOULDER CPM
$
0.00
OPTIFLEX S SHOULDER CPM quantity
$
0.00
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW
$
0.00
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW quantity
$
0.00
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Order Summery
Subtotal
$
107.26
Total
$
107.26
Proceed to checkout
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No Fault Claim Insurance Purchase Request
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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
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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First Name
Last Name
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(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
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(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
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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First Name
Last Name
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(Required)
Email
(Required)
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(Required)
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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