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“KINETIC MAESTRA HAND & WRIST CPM” has been added to your cart.
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“Darco HeelWedge Healing Shoe” has been added to your cart.
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Product
Price
Quantity
Subtotal
OPTIFLEX S SHOULDER CPM
$
0.00
OPTIFLEX S SHOULDER CPM quantity
$
0.00
KINETIC MAESTRA HAND & WRIST CPM
$
0.00
KINETIC MAESTRA HAND & WRIST CPM quantity
$
0.00
Darco HeelWedge Healing Shoe
$
40.00
Darco HeelWedge Healing Shoe quantity
$
40.00
Update Cart
Order Summery
Subtotal
$
40.00
Total
$
40.00
Proceed to checkout
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Agree
No Fault Claim Insurance Purchase Request
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(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.
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Insurance Type
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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
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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DD dash MM dash YYYY
Insurance Type
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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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ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW
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