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“OPTIFLEX S SHOULDER CPM” has been added to your cart.
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Product
Price
Quantity
Subtotal
Standard Offset Walking Cane Adjustable Aluminum
$
35.99
Standard Offset Walking Cane Adjustable Aluminum quantity
$
35.99
DCS Plantar Fasciitis Sleeve
$
25.00
DCS Plantar Fasciitis Sleeve quantity
$
25.00
Slimline Cast Boot Black Square-Toe
$
20.25
Slimline Cast Boot Black Square-Toe quantity
$
20.25
OPTIFLEX S SHOULDER CPM
$
0.00
OPTIFLEX S SHOULDER CPM quantity
$
0.00
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Order Summery
Subtotal
$
81.24
Total
$
81.24
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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.
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Other
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(Required)
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(Required)
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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)
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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)
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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DCS Plantar Fasciitis Sleeve
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