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Product
Price
Quantity
Subtotal
ObusForme Back Support Belt with Built-in Lumbar Support
$
48.32
ObusForme Back Support Belt with Built-in Lumbar Support quantity
$
48.32
Blue Jay Universal Thigh Wrap
$
25.00
Blue Jay Universal Thigh Wrap quantity
$
25.00
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Order Summery
Subtotal
$
73.32
Total
$
73.32
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Workers Comp Claim Insurance Purchase Request
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Other Claim Insurance Purchase Request
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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
Best Sellers
ObusForme Back Belt for Women with Built-in Lumbar Support
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Blue Jay Universal Wrist Wrap
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$
20.00
Blue Jay Lumbar Support
$
60.00
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