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“Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap” has been added to your cart.
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Product
Price
Quantity
Subtotal
Softie Surgical Shoe Mens
$
16.12
Softie Surgical Shoe Mens quantity
$
16.12
Underpads Economy 150/cs
$
51.32
Underpads Economy 150/cs quantity
$
51.32
Aircast AirSport Ankle Brace
$
59.99
Aircast AirSport Ankle Brace quantity
$
59.99
Reusable Absorbent Chair Pad
$
25.99
Reusable Absorbent Chair Pad quantity
$
25.99
Jobst Sensifoot Over-The-Calf Sock
$
23.39
Jobst Sensifoot Over-The-Calf Sock quantity
$
23.39
Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap
$
15.00
Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap quantity
$
15.00
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Order Summery
Subtotal
$
191.81
Total
$
191.81
Proceed to checkout
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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
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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51.32
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