Incontinence Supplies

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Incontinence Supplies

, AM REQUESTING A RESUPPLY OF THE FOLLOWING ITEMS. I HAVE #DAYS OF SUPPLY LEFT (Do not exceed 5 days worth) ON HAND AND NEED MORE:
Select products to re-order
Briefs (Specify Brand & Size below)
Pull Ups (Specify Brand & Size below)
Guards/Shields (Specify Brand & Style below)
Disposable Under-Pads (Specify Size below)
Liners (Specify Brand & Style below)
Reusable Under-Pads (Specify Size below)
Gloves (Specify Brand, Style, and Size below)
Other
Hours
M - Th (DME closed Fri)9:00 a.m.5:00 p.m.
SatClosed
SunClosed
New Hours
On-Call Service

24/7
Toll-Free
(888) 810-3910

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