• Medical Equipment Patient Information

    The medical equipment department will reach out to you within 72 business hours (M-F) after the completion of this form to follow-up. If you have any questions please call us at 804-288-8361 ext 134.
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  • Disclaimer:  Not all products are covered by inusrance. A trained staff member will review your information and call you to let you know if the product needed is covered. 

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