Equipment

Name ____________________________________

Model No._________________________________

Company_________________________________

Quantity______________      Size______________

Used for _____________________

Special Direction __________________________________________________
__________________________________________________
__________________________________________________

Customized packaging: Child-proof caps,Non-child-proof caps,Blister(30dy)
Payment method
Credit card/Cashiers check/check/cash-pickup
* Shipping Charge up to $50 : $4.00
           over $50.00  $6.00(up to 5 Ibs.)
    Out of city :case by case
Overnite + $10.50, Second day+$3.50 ,Regular(6-7 days);same
* submit ___ or Cancel ___  or Correct ___
* Home __

Please e-mail, fax or call.
Ronstin@aol.com
Fax (213)277-8089
Tel.(213)277-8080

MediCal/Madicare Coverage

Cane, Quad-Cane(Arthirtis)
Crutches,Walker   (Arthritis)
Commode(Bedside portable toilet)
Bath Bench (MediCal)
Raised Toilet Seat(MediCal)
Bathtub Grab Bars(MediCal)
Transfer Bench (MediCal)
Seat Lift Chair (MediCare)
Vacuum Erection Device(MediCare)
Blood Glucose Monitor (Insulin)
Hospital Bed
Pressure Pad,Alternating w/pump
Electric Heating Pads
Wheelchairs(Manual/Motorized)
Nebulizer(Asthma)
Oxygen Concentrators, Tank
Breast Pump Kit
TENS(Transcutaneous electrical nerve stimulator)
Infusion Pumps
IV Pole
Enteral Nutrition, Parentaral Nutrition