H. D. Smith Initiates Legislative Partnership

Size: px
Start display at page:

Download "H. D. Smith Initiates Legislative Partnership"

Transcription

1 Quality Products for Better Home Healthcare Corporate HomeCare Customer Service: Log-on to hdsmith.com and click on HomeCare Connection August s - Effective August 1 through August 31, 2010 H. D. Smith Initiates Legislative Partnership H. D. Smith is proud to announce a newly acquired membership with the American Association for HomeCare. Uniting with AAHomeCare will help ensure a presence on Capital Hill regarding legislation impacting the home healthcare industry. Our legislative team will work with AAHomecare in submitting comments to Congress regarding accreditation, competitive bidding and other bills impacting our businesses. H. D. Smith thanks AAHomecare for their efforts and we look forward to our relationship as we unite on behalf of the industry. HR. 3790, The Bill that would Repeal Competitive Bidding, stands at 242 cosponsors as of June 18th, 2010! The bill, introduced by Rep. Kendrick Meek, D-Fla., has strong bipartisan support on the house. Focus is now on the Ways and Means Committee and the Energy and Commerce Committee. These two committees have jurisdiction over Medicare-related issues. House Ways and Means Committee Chair, Sander Levin, D-Mich., and Energy and Commerce Committee Chair, Henry Waxman, D-Calif., should be urged to include HR in any legislation that will go to the House floor. Providers and industry leaders are also working to find senators that will consider introducing or cosponsoring a companion bill to HR For more information about this bill go to Please contact your representative and ask them to co-sponsor this bill. TRUEbalance Meter Kit H4H01 5 Translator Walker Transport Combo MDS808200TR 3 2 Automatic Blood Pressure Kit BP710 4 Shoulder Immobilizer L

2 Alex Orthopedic Elastic Wrist Brace S Small $4.87 $ % M Medium $4.87 $ % L Large $4.87 $ % XL Extra Large $4.87 $ % Elastic Knee Brace S Small $4.87 $ % M Medium $4.87 $ % L Large $4.87 $ % XL Extra Large $4.87 $ % Elastic Ankle Brace S Small $4.87 $ % M Medium $4.87 $ % L Large $4.87 $ % XL Extra Large $4.87 $ % Shoulder Immobilizer L Large $11.69 $ % XL Extra Large $11.69 $ % Alex Orthopedic Products are not stocked in all H. D. Smith Distribution Centers. Please call Customer Service at for more information. TruForm 20-30mmhg Below Knee Closed Toe Beige Stockings S Small $16.95 $ % M Medium $16.95 $ % L Large $16.95 $ % XL Extra Large $16.95 $ % XL Extra Extra Large $16.95 $ % XL Extra Extra Extra Large $16.95 $ % 20-30mmhg Below Knee Closed Toe Black Stockings BL-M Medium $16.95 $ % BL-L Large $16.95 $ % BL-XL Extra Large $16.95 $ % BL- Extra Extra Large $16.95 $ % 2XL BL- 3XL Extra Extra Extra Large $16.95 $ % 2 HomeCare Connection

3 Cara Cryo-MAX Cold Pack 6 x 6 $8.54 $ % Cryo-MAX Cold Pack 6 x 12 $13.54 $ % Bayer HDS # Description Contour Meter $15.00 $ % Contour Meter - Purple $15.00 $ % Contour Meter - Green $15.00 $ % Didget Meter Kit $58.90 $ % Medline MDS EE MDS ONEE MDS OEE MDS EE MDS D MDS D MDS MDS MDS MDS MDS TR August 2010 Basic Wheelchair 18 Permanent Foot Rest $ $ % 16 with Desk and Foot Rest $ $ % 18 with Desk and Foot Rest $ $ % 18 with Desk and Elevated Leg Rest $ $ % Excel with Desk Arm and Foot Rest $ $ % 18 with Desk and Elevated Leg Rest $ $ % 20 with Desk Arm and Elevated Leg Rest $ $ % Excel K3 18 with Desk Arm and $ $ % Foot Rest Excel K4 18 with Desk Arm and $ $ % Foot Rest Excel K4 18 with Desk Arm and $ $ % Elevated Foot Rest Translator Walker Transport Combo $ $ % G30755P Walker Palm Release Guardian Adult $27.80 $ % G30756P Walker Palm Release Guardian Youth $27.80 $ % G30757W Walker Guardian with 5 Wheels Adult $34.51 $ % G30758W Walker Guardian with 5 Wheels Youth $34.51 $ % 3

4 Dynarex Gauze Pads 12 Ply x 2 100ct $2.63 $ % x 3 100ct $3.53 $ % x 4 100ct $5.37 $ % Vinyl Exam Gloves - Powder Free Small 100ct $3.44 $ % Medium 100ct $3.44 $ % Large 100ct $3.44 $ % Extra Large 100ct $3.44 $ % Salk SaniPant Waterproof Briefs Pull On s SM Small $8.44 $ % MED Medium $8.44 $ % LG Large $8.44 $ % XLG Extra Large $8.44 $ % XXLG Extra Extra Large $9.22 $ % Snap On s MED Medium $8.64 $ % LG Large $8.64 $ % Omron BP710 Automatic Blood Pressure Kit $32.50 $ % HEM- Automatic Blood Pressure Kit $62.50 $ % 711DLX Irregular Heartbeat, Pulse, Date/Time and Preformed Cuff HEM629N Wrist Blood Pressure Cuff $40.00 $ % Extra Large Display, Pulse, Date/Time and 30 Memory HJ150 Hip Pedometer Step Sensor, 7-Day History and Large Display $13.50 $ % 4 HomeCare Connection

5 HDI H4H01 TRUEbalance Meter Kit $11.75 N/A N/A No coding Small, one microliter blood sample Simple, two-step testing Accurate results in 10 seconds 365 test memory Data management capability H3H01 TRUEbalance Test Strips 50ct $11.50 N/A N/A Blue Chip Gel Wheelchair Cushion 17 x 17 $28.22 $ % NA Gel Wheelchair Cushion 16 x 16 $28.22 $ % CPARC CPAP Pillow $32.24 $ $ Equipment Covers - Peel off Roll Concentrators, Wheelchairs, Walkers $57.23 $ % and Commodes Nebulizers, CPAP and BIPAP $31.31 $ % Mattress Cover $81.57 $ % Sport Aid Comfy Cradle Maternity Support RT Small / Medium $22.43 $ % RT Large / Extra Large $22.43 $ % Elastic Bandages SA $2.33 $ % SA $3.07 $ % SA $3.64 $ % Hernia Belt SA1500 Small $16.39 $ % SA1500 Medium $16.39 $ % SA1500 Large $16.39 $ % 5 HomeCare Connection

6 Standers Assist-A-Tray $ $ % W Security Pole and Curve Grab Bar - White $ $ % BedCane $59.00 $ % HandyBar $20.71 $ % ARKRAY GLUCOCARD X-Meter Kit $15.70 $ % GLUCOCARD X-Meter 50ct Test Strips $18.02 $ % GLUCOCARD 01 Meter Kit $14.54 $ % GLUCOCARD 01 50ct Test Strips $16.17 $ % GLUCOCARD Vital BGM Kit $11.05 $ % GLUCOCARD Vtial SENSOR SCA Test Strips $13.96 $ % Tena Serenity Pads Ultra Thins, Moderate 4/42ct $46.12 $ % Ultra Thins, Heavy 4/32ct $46.12 $ % Overnight Pad 3/30ct $43.11 $ % MedQuip MQ3000 AIRIAL Finger Tip Pulse Oximeter $44.94 $ % MQ3200 NEW! AIRIAL View Sp02 with $57.44 $ % Color Screen MQ6003 AIRIAL Panda Compressor $33.42 $ % Nebulizer System MQ5900 Compressor Nebulizer with $29.63 $ % Reusable Nebulizer MQ4100 AIRIAL Oxygen Conserving Device $ $ % August

Invacare Respiratory Products. Invacare Aerosol IRC Invacare Select Compressor. IRC Invacare Pediatric Bear Nebulizer

Invacare Respiratory Products. Invacare Aerosol IRC Invacare Select Compressor. IRC Invacare Pediatric Bear Nebulizer This Month's Featured Respiratory Product Invacare Pediatric Bear Nebulizer Offers performance, reliability and value that providers and patients expect from Invacare. Includes mouthpiece and pediatric

More information

Your Health, our Concern

Your Health, our Concern Your Health, our Concern Company Profile For over 26 years, our goal has been preserve and improve your quality of life. KOHINOOR proposes effective and innovative prophylactic as well as rehabilitative

More information

Home Health products. to enhance the. quality of your life

Home Health products. to enhance the. quality of your life Home Health products to enhance the quality of your life Mobility Wheelchairs are usually covered by Medicare, and we d be happy to review qualification criteria with you. There are many models and features

More information

$ $ $450 00

$ $ $450 00 MONTHLY PROMOTIONS NEW ARRIVALS! ASK FOR Promo Code: PROMONEWSEPT12 Onyx II Vantage Fingertip Oximeter nvision Data Management Software The Onyx II Vantage professional fingertip oximeter Powerful, easy-to-use

More information

HBS Home Solutions. Sock and Stocking Aid DRIVE. ITEM # COLOR 1624 Bronze 1626 Silver 1628 Black $ Each HOMEDICS

HBS Home Solutions. Sock and Stocking Aid DRIVE. ITEM # COLOR 1624 Bronze 1626 Silver 1628 Black $ Each HOMEDICS HBS Home Solutions Accessibility and Medical Equipment and Assistive Device Company Phone: (856) 581-9521 Mobile: (856) 206-3760 Email: Hilariosolutions@gmail.com www.hilariosolutions.com The Ultima 3T

More information

SHIPPING INFORMATION Provider Acct #: Address: ST: ZIP:

SHIPPING INFORMATION Provider Acct #: Address: ST: ZIP: May 2014 Kids FAST Order Form Maximum Weight Capacity 80 lbs. 12"Wx14.5"Dx19.5"H Seating Capacity. Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING

More information

SHIPPING INFORMATION Provider Acct #:

SHIPPING INFORMATION Provider Acct #: May 2014 Kids ROCK TM Size 2 Order Form Maximum Weight Capacity 115 lbs. 14"Wx16"Dx22"H Seating Capacity. Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING

More information

THE DRAWSTRING SYSTEM

THE DRAWSTRING SYSTEM PRODUCT CATALOG The BYNIX Cinch Brace Drawstring LSO (Lumbar Sacral Orthosis) is one of the most versatile, convenient, and comfortable braces of its kind. Featuring the innovative drawstring system, the

More information

LTC (OPTIONS / AGING WAIVER) - DME SUPPLY LIST Fiscal Year 2017 July 1, 2017 June 30, 2018 TABLE OF CONTENTS

LTC (OPTIONS / AGING WAIVER) - DME SUPPLY LIST Fiscal Year 2017 July 1, 2017 June 30, 2018 TABLE OF CONTENTS LTC (OPTIONS / AGING WAIVER) - DME SUPPLY LIST Fiscal Year 2017 July 1, 2017 June 30, 2018 A. List (Non- Consumable Medical Supplies) service alpha - MESN (T2029) TABLE OF CONTENTS -Installation -Grab

More information

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.:

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.: Account #: Purchase Order No.: Contact: R82 x:panda USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration

More information

SHIPPING INFORMATION Provider Acct #:

SHIPPING INFORMATION Provider Acct #: May 2014 Kid's ROCK TM Size 3 Order Form Maximum Weight Capacity 215 lbs. 17Wx20Dx26H Seating Capacity Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING

More information

The Porta Range. Our complete mobile and adjustable transfer chairs.

The Porta Range. Our complete mobile and adjustable transfer chairs. The Porta Range Our complete mobile and adjustable transfer chairs. Our family of Porter chairs offer a Long-Term Postural and Pressure Management Seating Solution. Suitable Environments Home Nursing &

More information

R&R Healthcare Equipment. Product Catalogue.

R&R Healthcare Equipment. Product Catalogue. R&R Healthcare Equipment Product Catalogue www.randrhealthcare.com.au Established in Mildura in 2003, R & R Healthcare Equipment has become a market leader in the supply of aids and equipment which allows

More information

Breg Essentials. Conversion Guide

Breg Essentials. Conversion Guide Breg Essentials Conversion Guide Essential [uh-sen-shuh l] adj. basic, indispensable, or absolutely necessary element Breg Essentials is a new line of orthopedic soft goods designed for everyday patient

More information

Jupiter. Uncompromised comfort and postural support in keeping with a contemporary home setting

Jupiter. Uncompromised comfort and postural support in keeping with a contemporary home setting Jupiter Uncompromised comfort and postural support in keeping with a contemporary home setting Jupiter Jupiter is the ideal home use chair for children through to adults, that combines comfort with superior

More information

Fall Give Your Body a Hug SITTING LOUNGING SLEEPING

Fall Give Your Body a Hug SITTING LOUNGING SLEEPING Fall 2018 Give Your Body a Hug SITTING LOUNGING SLEEPING 2018 Gel/Foam Cushions Gel/Foam combination provides the user excellent weight distribution and even pressure relief Great for wheelchairs, transport

More information

Bariatric Equipment. Bath Accessories. Nova Quad Cane: up to 500lbs. Nova Heavy Duty Front Wheeled Walker: up to 500lbs.

Bariatric Equipment. Bath Accessories. Nova Quad Cane: up to 500lbs. Nova Heavy Duty Front Wheeled Walker: up to 500lbs. Bariatric Equipment Nova Quad Cane: up to 500lbs. Nova Heavy Duty Front Wheeled Walker: up to 500lbs. Nova Four Wheeled Walker with Seat: up to 600lbs. Nova Extra Wide Commode: up to 450lbs. Nova Heavy

More information

IngPro oduc BASIcS IntrBy InvAcAre er 2014 B vem o n le lab vai A

IngPro oduc BASIcS IntrBy InvAcAre er 2014 B vem o n le lab vai A Introducing PRO BASICS By Invacare Available November 2014 PROBASICS Rollators A A. PROBASICS Flame Finish Aluminum Rollator with Loop Brakes Featuring a lightweight, aluminum welded frame, full swivel

More information

SHIPPING INFORMATION. Order

SHIPPING INFORMATION. Order Size 3 Order Form MASS 2014 Maximum Weight Capacity 215 lbs. 17Wx20Dx26H Seating Capacity Pride Mobility Products Aust Pty Ltd 20-24 Apollo Drive Hallam VIC 3803 Ph: 03 8770 9600 Fax: 03 9703 2960 Date:

More information

Quality home healthcare products you can trust.

Quality home healthcare products you can trust. Solutions Quality home healthcare products you can trust. TrustWorth Products TrustWorth products offer a high quality, affordable way to help you maintain healthy and active lifestyles. We guarantee that

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES PRICING POLICY MANUALLY PRICED CODES OF DURABLE MEDICAL EQUIPMENT (DME), MEDICAL SURGICAL SUPPLIES, ORTHOTICS AND PROSTHETICS, PARENTERAL AND ENTERAL SUPPLIES The Department

More information

Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA Sales: Phone: (866) Fax: (866)

Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA Sales: Phone: (866) Fax: (866) This product is available for purchase online at www.mypride.com Account #: Date: Order No. Fax No. Phone No. PAGE 1 Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA 18643 Sales: Phone:

More information

Convaid Trekker 2 - HCPCS E1234 Canadian Retail Price List / Order Form

Convaid Trekker 2 - HCPCS E1234 Canadian Retail Price List / Order Form Account #: Contact: Canadian Retail Price List / Order Form Purchase Order #: Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email: Ship To: Address: City/State/Zip: Phone: TR14 Base Accepts

More information

Convaid Trekker 2 - HCPCS E1234 Retail Price List / Order Form

Convaid Trekker 2 - HCPCS E1234 Retail Price List / Order Form Account #: Contact: Retail Price List / Order Form Purchase Order #: Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email: Ship To: Address: City/State/Zip: Phone: TR14 Base Accepts TR12 & TR14

More information

Model # Description 1037 Aluminum Rollator - Flame Red 1037BL Aluminum Rollator - Flame Blue 1037BK Aluminum Rollator - Flame Silver

Model # Description 1037 Aluminum Rollator - Flame Red 1037BL Aluminum Rollator - Flame Blue 1037BK Aluminum Rollator - Flame Silver ProBasics ProBasics Rollators A A. ProBasics Flame Finish Aluminum Rollator with Loop Brakes Featuring a lightweight, aluminum welded frame, full swivel front casters and easy squeeze brakes for progressive

More information

1.0 General Supplies Benefit Code

1.0 General Supplies Benefit Code 1.0 General Supplies Benefit Code Quantity Ordered Product Descripiton Status NHIB Allowable Qty Gloves Examination, PVC, non-sterile Small 100/ BX 99400318 BX 1 BOX / 30 DAYS Medium 100 / BX 91400318

More information

BENTLEY. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.

BENTLEY. 15 Seat Width 18 Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply. C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a

More information

Connecticut Medical Assistance Program Policy Transmittal

Connecticut Medical Assistance Program Policy Transmittal Connecticut Medical Assistance Program Policy Transmittal 2018-07 Provider Bulletin 2018-18 March 2018 Roderick L. Bremby, Commissioner Effective Date: April 1, 2018 Contact: Ginny Mahoney @ 860-424-5145

More information

Volunteer Wheelchair Training

Volunteer Wheelchair Training Volunteer Wheelchair Training Transporting Guests by Wheelchair POLICY: It is the policy of St. Elizabeth Healthcare to provide a uniform method of transporting guests by wheelchair. Volunteers may provide

More information

STRENGTH AND SENSIBILITY. Wheelchairs designed with acute care in mind Legendary durability. Clinical expertise.

STRENGTH AND SENSIBILITY. Wheelchairs designed with acute care in mind Legendary durability. Clinical expertise. STRENGTH AND SENSIBILITY. designed with acute care in mind Legendary durability. Clinical expertise. Sturdy chairs and expert help. When it comes to wheelchairs, you have too many choices. Let our experts

More information

STELLAR. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.

STELLAR. 15 Seat Width 18 Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply. C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a

More information

x:panda, size 1, med. back X c x:panda, size 1, med. seat 7¼" X c

x:panda, size 1, med. back X c x:panda, size 1, med. seat 7¼ X c Account No. Drop Ship: Date: Name P.O. Number: Address Buyer: City Marked For: State Zip E Mail: Tel. Fax Features included in standard price: Height, Depth & Angle Adjustable Back Angle Adjustable Adduction

More information

Product Categories and HCPCS Codes

Product Categories and HCPCS Codes DMEPOS Competitive Bidding Program Product Categories and HCPCS Codes Enteral Nutrients, Equipment and Supplies 2 General Home Equipment and Related Supplies and Accessories 3 Nebulizers and Related Supplies

More information

BENTLEY. Order Form - AADL - W322 Prices in Canadian Dollars. October 1, W h e e l L o c k s. A n t i - T i p p e r s. B a c k P o s t S t y l e

BENTLEY. Order Form - AADL - W322 Prices in Canadian Dollars. October 1, W h e e l L o c k s. A n t i - T i p p e r s. B a c k P o s t S t y l e C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Tag Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a m e T y

More information

Revolving Around Your Needs.

Revolving Around Your Needs. Revolving Around Your Needs. Wheelchairs Complete Selection. Clinical Expertise. BASIC / NARROW WHEELCHAIRS High Quality, Ready To Roll. The durability of our wheelchairs is famous, and we stand behind

More information

Surgical Table Accessories

Surgical Table Accessories Surgical Table Accessories Table of Contents Table Pads...Page 3 Arm Support Accessories and Pads...Page 4 Standard Armboard and Pads...4 Radiolucent Standard Armboard and Pads...4 12 Carbon Fiber Arm

More information

Revolving Around Your Needs.

Revolving Around Your Needs. Revolving Around Your Needs. Wheelchairs Complete Selection. Clinical Expertise. High Quality, Ready To Roll. BASIC / NARROW WHEELCHAIRS The durability of our wheelchairs is famous, and we stand behind

More information

FUSION Seating Prescription Form Custom Built Seating System

FUSION Seating Prescription Form Custom Built Seating System GENERAL INFORMATION Clinician: Email: Date: Service: Delivery Address: Client Name/Ref: Address/School: Current Equipment: Issues with Current Equipment: Observations, deformity: Hips/Pelvis: Spine/Trunk:

More information

R82 Wombat Living. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Wombat Living Standard Features:

R82 Wombat Living. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Wombat Living Standard Features: Account #: Purchase Order No.: Date: Contact: R82 Wombat Living CAD Retail Price List/ Order Form Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Wombat

More information

Deluxe nebulizer with oxygen diluter Adult mist tent Warranty: 1 year on motor HCPCS Code: E0565. Overall Dimensions. Electrical Input.

Deluxe nebulizer with oxygen diluter Adult mist tent Warranty: 1 year on motor HCPCS Code: E0565. Overall Dimensions. Electrical Input. Table of Contents Oxygen ProBasics Oxygen 3 Wheelchairs ProBasics Transport Chairs 4 ProBasics Value K0001 Wheelchair 6 ProBasics Lightweight Wheelchair 7 ProBasics High Performance Lightweight Wheelchair

More information

JZ Imaging & Consulting, Inc Fax:

JZ Imaging & Consulting, Inc Fax: JZ Imaging & Consulting, Inc. 440-942-1241 Fax: 440-942-1388 BARIATRIC PRODUCTS CATALOG BARIATRIC BEDS & ACCESSORIES Maxi Rest Bariatric Bed... 750-1000 lb...4-5 Extra Care Bariatric Bed...1000 lb...6

More information

FUZE T50. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

FUZE T50. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n. C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a

More information

wheelchairs aspire for... mobility comfort style LITE TRANSIT RANGE Aspire EVOKE Aspire EVOKE HD

wheelchairs aspire for... mobility comfort style LITE TRANSIT RANGE Aspire EVOKE Aspire EVOKE HD EVOKE & EVOKE HD TRANSIT ASSIST wheelchairs aspire for... mobility comfort style LITE LITE TRANSIT RELAX RANGE Aspire EVOKE Aspire EVOKE HD Aspire ASSIST Aspire TRANSIT Aspire RELAX Aspire LITE Aspire

More information

Options for Private Labeling

Options for Private Labeling September Specials Save on Favorites! Must Mention Promo Code: SEP2016 When Ordering. Valid September 1 st - September 30 th, 2016 RESPIRATORY PRODUCTS Roscoe Mini Nebulizer Compressor System Our most

More information

Klamath County School District Mar 20, 2018 Warehouse Catalog

Klamath County School District Mar 20, 2018 Warehouse Catalog 105345 BX 2 POCKET FOLDERS, 25/BX $7.06 105158 CN AIR, DUST OFF $6.71 101078 CS ANTISEPTIC, HAND GEL 6/CS $42.78 101069 BX APPLICATOR STICKS/LICE,1000/BX $5.15 105339 BX APPLICATOR, QTIP, 6", 1000/BX $0.00

More information

FUZE T20. Order Form - Canada Prices in Canadian Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

FUZE T20. Order Form - Canada Prices in Canadian Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n. C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a

More information

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.:

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.: Account #: Purchase Order No.: Contact: R82 x:panda USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration

More information

DURABLE MEDICAL EQUIPMENT (DME) AND ORTHOTICS/PROSTHETICS PRIOR AUTHORIZATION LIST GEORGIA MEDICARE August 2012

DURABLE MEDICAL EQUIPMENT (DME) AND ORTHOTICS/PROSTHETICS PRIOR AUTHORIZATION LIST GEORGIA MEDICARE August 2012 GEORGIA MEDICARE August 2012 The information contained in this listing pertains to WellCare of Georgia Medicare Durable Medical Equipment (DME) and Orthotic/Prosthetic authorization requirements only.

More information

STELLAR GL. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

STELLAR GL. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n. C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a

More information

BARIATRIC PRODUCTS CATALOG

BARIATRIC PRODUCTS CATALOG BARIATRIC PRODUCTS CATALOG Total Solutions for Bariatric Patient Care One Call Does It All 800-537-2521 email: sales@gendroninc.com Total Solutions for Bariatric Patient Care Founded in 1872, Gendron,

More information

Re: Additional Budget Reduction Items Durable Medical Equipment

Re: Additional Budget Reduction Items Durable Medical Equipment MIKE FOGARTY CHIEF EXECUTIVE OFFICER GOVERNOR BRAD HENRY OHCA 2010-13 February 22, 2010 STATE OF OKLAHOMA OKLAHOMA HEALTH CARE AUTHORITY Re: Additional Budget Reduction Items Durable Medical Equipment

More information

CUSHIONS & WEDGES. Cushions & Wedges. Call Toll-Free at

CUSHIONS & WEDGES. Cushions & Wedges. Call Toll-Free at CUSHIONS & WEDGES Cushions & Wedges Call Toll-Free at 1-800-557-6682 CUSHIONS Gel Foam Wheelchair Cushion 2601 HCPCS # E2601 Gel/Foam combination provides the user excellent weight distribution and even

More information

STELLAR. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

STELLAR. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n. C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a

More information

Quickie IRIS January 2014

Quickie IRIS January 2014 Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: ST: ZIP: Address: Dealer Phone: ( ) Fax: ( )

More information

FUZE T50. Order Form USA. Please send your completed order form by to or by fax to

FUZE T50. Order Form USA. Please send your completed order form by  to or by fax to Page 1 of 5 Purchase Order Tag Dealer/Organization Name Purchaser Name and Contact Information Mailing Address Shipping Address Please send your completed order form by email to info@pdgmobility.com or

More information

LIVE OUT QUICKIE QM-7 LIMITS WITH EXPERIENCE IT ALL. SEDEO Ergo Seating

LIVE OUT QUICKIE QM-7 LIMITS WITH EXPERIENCE IT ALL. SEDEO Ergo Seating EXPERIENCE IT ALL The QUICKIE QM-7 with SEDEO Ergo Seating and SpiderTrac 2.0 suspension redefines powered wheelchair technology, inside and out. Travel further, take on new challenges, and be your independent

More information

AGED Care Day Procedure ACUTE Care Palliative Chemotherapy Day Surgery RADIOLOGY Oncology SPECIALIST Centres HEALTHCARE

AGED Care Day Procedure ACUTE Care Palliative Chemotherapy Day Surgery RADIOLOGY Oncology SPECIALIST Centres HEALTHCARE AGED Care Day Procedure ACUTE Care Palliative Chemotherapy Day Surgery RADIOLOGY Oncology SPECIALIST Centres HEALTHCARE Join us on the Journey as we help healthcare happen! CARELEDA is a Market Leader

More information

FUZE T20. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

FUZE T20. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n. C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Tag v.070118 Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a

More information

https://www.indiamart.com/modsurg-equipments/

https://www.indiamart.com/modsurg-equipments/ +91-8079451877 ModSurg Equipments https://www.indiamart.com/modsurg-equipments/ We have emerged as a Manufacturer and Supplier of a wide assortment of Medical Equipment like Hospital Equipment and Patient

More information

Custom Manual Options & ACCESSORIES AUSTRALIA 2013

Custom Manual Options & ACCESSORIES AUSTRALIA 2013 Custom Manual Options & ACCESSORIES AUSTRALIA 2013 Casters and Forks CASTERS FORKS Aluminium Soft Roll 4 X 1.5 113395 5 X 1.5 113396 6 X 1.5 113397 Aluminium Polyurethane / Soft Roll Multi Position Fork

More information

motivation Product Summary

motivation Product Summary The Moti-Go Wheeled Supportive Seating is a locally size adjustable supportive wheelchair. It is intended for use by children and small adults who need extra postural support in combination with mobility.

More information

MASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan.

MASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan. MASS Script Form Australian Order Form Effective 05/07/2014 Company: Account Number: Date: Quote PO Number: RTS: Marked For: Ship To: Address: City: State: Zip: Phone: Email/Fax: Catalyst 5Vx K0005 Charge

More information

Black -01 Moss green -95 Yellow -99. Heather purple -97. Indicate height. Indicate height. Indicate angle. Indicate height: cm. Indicate height: cm

Black -01 Moss green -95 Yellow -99. Heather purple -97. Indicate height. Indicate height. Indicate angle. Indicate height: cm. Indicate height: cm Cross 5 XL Prescription form 75188K 017-05-08 Reference: Name: Tel: Date: version is marked with The measurements given can vary ±% Short frame Seat width (cm) Seat depth 36-4 (-49*)cm Measured from back

More information

Please refer to our website, for the latest information on our new and current products.

Please refer to our website,  for the latest information on our new and current products. Graham-Field Health Products offers the finest high quality, name brand healthcare products for the homecare market. From walkers to specialty healthcare seating to diagnostics, these products have been

More information

ALS Society of NB and NS - Equipment Loan Form

ALS Society of NB and NS - Equipment Loan Form The ALS Society of New Brunswick and Nova Scotia is a non-profit organization and is not funded by any level of government. Completion of this form will assist our staff in providing the most appropriate

More information

USA Parts List FUZE T50

USA Parts List FUZE T50 USA Parts List FUZE T50 Effective January 1, 2018. Prices in U.S. Dollars. Prices and descriptions contained in this manual are subject to change without prior notice. Fuze T50 Frame-Seat Pan Cross Bar

More information

cp tech customised product technology Product Catalogue

cp tech customised product technology Product Catalogue cp tech customised product technology Product Catalogue CONTENTS 1. How to Measure a Postural Insert 2. Insert Components - Back and Base - Cushions - Lateral Supports - Head Supports - Pommels - Foot

More information

WHEELCHAIR RANGE. aspire for... Comfort Posture Mobility DANISH DESIGN

WHEELCHAIR RANGE. aspire for... Comfort Posture Mobility DANISH DESIGN WHEELCHAIR RANGE aspire for... Comfort Posture Mobility EVOKE REHAB RX ASSIST TRANSIT LITE TRANSIT www.aspirecare.com.au 300 33 0 EVOKE Lightweight & Highly Adjustable The Aspire EVOKE and EVOKE HD are

More information

DOG BONE HARNESS DOG BONE HARNESS STOCK CAR TYPE SPECIAL SPRINT CAR & MIDGET RESTRAINTS SFI-16.1 SFI Part #11004DB

DOG BONE HARNESS DOG BONE HARNESS STOCK CAR TYPE SPECIAL SPRINT CAR & MIDGET RESTRAINTS SFI-16.1 SFI Part #11004DB DOG BONE HARNESS STOCK CAR TYPE Part #11004DB Dog bone harness option available on most harness applications. Wrap around/bolt in. Harness tapers from 3" to 2" (11" total) then back to 3" to accommodate

More information

Chair Back Solid. Chair Back. Chair Back. Chair Back

Chair Back Solid. Chair Back. Chair Back. Chair Back Seats and Backs Seats and Backs Solid Up to 14 x 14... 0625 Up to 18 x 18... 062501 Up to 22 x 22... 062502 I-Modification Up to 14 x 14... 06258 Up to 18 x 18... 062510 Up to 22 x 22... 062511 T-Modification

More information

SEATING SERIES PRODUCT GUIDE

SEATING SERIES PRODUCT GUIDE SEATING SERIES PRODUCT GUIDE Invacare Matrx Seating and Positioning is an established global leader, committed to product innovation, high quality standards and superior product performance. As the world

More information

R82 Stingray - E1233

R82 Stingray - E1233 Account #: Purchase Order No.: Contact: R82 Stingray - E1233 USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US

More information

***SUMMER IS HERE - SAVE ON OUR MOBILITY PRODUCTS ***

***SUMMER IS HERE - SAVE ON OUR MOBILITY PRODUCTS *** TM JULY SPECIALS JULY 1 - JULY 31, 2015 It's HERE!!! Our New Product Catalog! Over 350 pages of the products you need most! Call your Roscoe Rep and request your copy today! Credit card orders accepted:

More information

HOMECARE BEDS AND ACCESSORIES Built Strong To Last Long

HOMECARE BEDS AND ACCESSORIES Built Strong To Last Long HOMECARE BEDS AND ACCESSORIES Built Strong To Last Long What does Certified Medline Quality Mean? 100% Certified Medline Quality QUALITY Medline beds meet or exceed very stringent dynamic and static loading

More information

Standard seat n Profiled filling n Tuber opening n Imitation leather upholstery. Memory foam seat n Profiled memory foam filling

Standard seat n Profiled filling n Tuber opening n Imitation leather upholstery. Memory foam seat n Profiled memory foam filling Matrixx seat system Seats Backrests Very comfy! SEA T SYSTEM A wheelchair is more than an aid, it is an extension of the body. That is why Life & Mobility not only develops and manufactures optimum (re)usable

More information

Quickie IRIS FSS Net Order Form/Price List (SIN F-1)

Quickie IRIS FSS Net Order Form/Price List (SIN F-1) Mark For: Date: Dealer Acct #: Dealer: Dealer Contact: Dealer Address: Dealer City: ST: Dealer Phone: ( ) Fax: ( ) Confirmation Email: Confirm Via: ZIP: Quickie IRIS FSS Net Order Form/Price List (SIN

More information

Phone: Nov-17

Phone: Nov-17 By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List in USD Phone: 800-327-0681 Nov-17 Fax: 260-665-3047 Email: iim@mobility-usa.com Quote: P.O. www.mobility-usa.com Bill To

More information

G u a r d i a n H o m e c a r e B e d s

G u a r d i a n H o m e c a r e B e d s Reliable. Economical. Compatible. G u a r d i a n H o m e c a r e B e d s You gave us three objectives 1 2 You require reliability in a product. The Guardian Homecare Bed has been engineered and tested

More information

Transport Chairs / Walkers MRI Transport

Transport Chairs / Walkers MRI Transport MRI Folding Walkers 18 Wide, Depth 17 250 lb weight capacity WA-1000 Adult - 32 to 36 $195.00 ea. WA-1001 Junior - 28 to 32 $195.00 ea. MRI Heavy Duty / Extra Wide Folding Walker 24 Wide, Depth 21 500

More information

Etac Cross 5 and Cross 5 XL

Etac Cross 5 and Cross 5 XL Etac Cross 5 and Cross 5 XL The new generation wheelchair with the optimum prerequisites for delivering comfort and excellent manoeuvrability. Etac Cross 5 when every little detail makes a big difference

More information

Stallion Script Form Fixed Frame Adjustable Wheelchair 90100

Stallion Script Form Fixed Frame Adjustable Wheelchair 90100 90100 To Order Fill in the frame dimensions and features required. For variations describe in detail on a separate page. If you have any further questions contact us at the address at the bottom of the

More information

BEARINGS BEARINGS

BEARINGS BEARINGS TIRES PNEUMATIC.... 1-4 SNAP ON.....4 PRIMO HIGH PERFORMANCE......5-6 SCHWALBE HIGH PERFORMANCE.....5-6 KENDA HIGH PERFORMANCE... 7 MAINTENANCE FREE TIRES SHOX URETHANE TIRES..... 8 URETHANE TIRES....

More information

Positioning Components Order Form - ODJFS Only

Positioning Components Order Form - ODJFS Only Quantum Rehab 401 York Ave., Duryea, PA 18642 Phone: 866-800-2002 Fax: 866-707-3422 Email: quantumorders@pridemobility.com Positioning Components Order Form - ODJFS Only Account Number: Date: Provider

More information

USA Parts List FUZE T20

USA Parts List FUZE T20 USA Parts List FUZE T20 Effective January 1, 2018. Prices in U.S. Dollars. Prices and descriptions contained in this manual are subject to change without prior notice. Fuze T20 Frame-Seat Pan Cross Bar

More information

All Durable Medical Equipment Providers. Subject: Medicaid Coverage of K Codes for Power Mobility Devices

All Durable Medical Equipment Providers. Subject: Medicaid Coverage of K Codes for Power Mobility Devices INDIANA HEALTH COVERAGE PROGRAMS P R O V I D E R B U L L E T I N B T 2 0 0 8 3 2 J U L Y 1 7, 2 0 0 8 To: All Durable Medical Equipment Providers Subject: Medicaid Coverage of K s for Power Mobility Devices

More information

SUNBEAM MOIST HEATING PADS from $29.99/ea. Helps arthritic pain and everyday muscle aches fade away Also available in Xpress Heat

SUNBEAM MOIST HEATING PADS from $29.99/ea. Helps arthritic pain and everyday muscle aches fade away Also available in Xpress Heat CPAP ESON 2 CPAP MASK $125.00/ea. ($140.00 reg.) T-ZONE CLARITY MOOD LAMP Use these beautiful mood lamps to set the tone in any room of your home or office. Comes with 6 bulbs: WHITE promotes purity; RED

More information

Electric Co-op Energy Efficiency Programs. NCSL Legislative Conference August 7, 2012 in Chicago

Electric Co-op Energy Efficiency Programs. NCSL Legislative Conference August 7, 2012 in Chicago Electric Co-op Energy Efficiency Programs NCSL Legislative Conference August 7, 2012 in Chicago Electric cooperatives are: Private, independent, non-profit electric utilities Owned by the customers they

More information

motivation Product Summary

motivation Product Summary The Moti-Start Portable Supportive Seat is a locally size adjustable supportive chair. It is intended for use by infants who need extra postural support. It comes semi-assembled and is easy to transport

More information

JAY Fit. Backrest and Seat Assembly. July 2017

JAY Fit. Backrest and Seat Assembly. July 2017 JAY Fit Backrest and Seat Assembly July 2017 Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention:

More information

Canadian Suggested Retail Price List April 2015

Canadian Suggested Retail Price List April 2015 Size 5 Canadian Suggested Retail Price List April 2015 Account No. Drop Ship: Date: Name P.O. Number: Address Buyer: City Marked For: State Zip E Mail: Tel. Fax A ( Back height) B (Arm height) C (Lower

More information

MEDIchair Northern BC nd Avenue Prince George, British Columbia V2L 3A6 Toll Free

MEDIchair Northern BC nd Avenue Prince George, British Columbia V2L 3A6 Toll Free MEDIchair Northern BC 849 2 nd Avenue Prince George, British Columbia V2L 3A6 Toll Free 1-800-330-2772 BC Ministry of Health A Cheat Sheet for Clinicians Included Features for a Basic Wheelchair, Basic

More information

50508_SEAT_2015_Monterey_SEAT_2015_Monterey_Final 2/23/11 10:36 AM Page 3 monterey BY

50508_SEAT_2015_Monterey_SEAT_2015_Monterey_Final 2/23/11 10:36 AM Page 3 monterey BY monterey BY 275/350/550 Generous Fit Get a chair that offers performance and support for the larger worker (up to 550 pounds) and has also been tested for intensive use situations. monterey Intensive Use

More information

ORDERING STEPS STEP 4 STEP 5 STEP 1 STEP 6 STEP 2 STEP 3 THANK YOU FOR SHOPPING AT TBS THE TEAM AND CORPORATE STORE

ORDERING STEPS STEP 4 STEP 5 STEP 1 STEP 6 STEP 2 STEP 3 THANK YOU FOR SHOPPING AT TBS THE TEAM AND CORPORATE STORE RMH 2017 ORDERING STEPS ALL RMH ORDERS MUST BE PROCESSED ONLINE & GO THROUGH TEAM MANAGERS STEP 1 Open this Web Address http://www.getitattbs.com/sports-association/ in either Safari, Google Chrome, Internet

More information

CRT Codes In Separate Benefit Category Legislation (By Code)

CRT Codes In Separate Benefit Category Legislation (By Code) # HCCS Description CAT * / ** 1 E0143 Walker, Folding 5-OTH 2 E0637 Combination Sit To Stand, Any Size Including ediatric, With Seatlift 5-OTH Feature, With Or Without Wheels 3 E0638 Standing Frame, One

More information

ZIPPIE IRIS (Transit Included) EIZ5A

ZIPPIE IRIS (Transit Included) EIZ5A ZIPPIE IRIS (Transit Included) EIZ5A MASS QLD ORDER FORM SUMMARY PAGE Effective: January, 2014 ORDERING INFORMATION: (02) 9678 6600 Fax: (02) 9678 6655 Email:orders@sunrisemedical.com.au Date: Sales Rep:

More information

Manufacturing Company. The Quality Leader in Sports Medicine Products

Manufacturing Company. The Quality Leader in Sports Medicine Products Manufacturing Company The Quality Leader in Sports Medicine Products Complete Training Rooms Danny Poole - Director of Sports Medicine - Head Athletic Trainer at Clemson University The custom equipment

More information

PHLEBOTOMY EQUIPMENT

PHLEBOTOMY EQUIPMENT PHLEBOTOMY EQUIPMENT NUMERICAL INDEX 10-D... 31 10-K... 30 6006-U... 7 6040-P... 9 6049-P... 9 6050-U... 6 6059-U... 7 6069-U... 7 6077... 32 6088... 42 6310... 18 6320... 19 6330-P... 19 6340-P... 19

More information

INVACARE Homecare Beds. Beds Mattresses Bed Rails

INVACARE Homecare Beds. Beds Mattresses Bed Rails INVACARE Homecare Beds Beds Mattresses Bed Rails Invacare Home Care Bed Series Invacare Home Care Beds deliver long-term savings over the lifecycle of the bed. The beds are durable and washable, reducing

More information

PRESCRIPTION FORM. Delivery address. Purchase order. Shipment date Delivery Date. Type

PRESCRIPTION FORM. Delivery address. Purchase order. Shipment date Delivery Date. Type PRESCRIPTION FORM Distributor Branch Client Phone Delivery address (Use 'Shift'+'Enter' for new line) Salesperson E-mail Purchase order Type Date Shipment date Delivery Date Important Demo Request Order

More information

Index. By Chair Model. Accessory Cushions & Parts. Seat & Back Pads. Positioning Belts. Trays. Footrests. Cylinders & Cables. Stabilizers/Anti-Tippers

Index. By Chair Model. Accessory Cushions & Parts. Seat & Back Pads. Positioning Belts. Trays. Footrests. Cylinders & Cables. Stabilizers/Anti-Tippers Parts & Accessories Index By Chair Model Accessory Cushions & Parts Seat & Back Pads Positioning Belts Trays Footrests Cylinders & Cables Stabilizers/Anti-Tippers Page Elite 2 MIDLINE 3 30VT 4 Pedal Chair

More information