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“Inspire Reusable Absorbent Underpad” 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
Inspire Reusable Absorbent Underpad
$
44.99
Inspire Reusable Absorbent Underpad quantity
$
44.99
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Order Summery
Subtotal
$
112.43
Total
$
112.43
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Workers Comp Claim Insurance Purchase Request
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(Required)
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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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Mediciad
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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.
(Required)
Agree
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