HIP/KNEE SURGERY EQUIPMENT ORDER FORM
All orders are shipped next day.
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Hip Cushion Vinyl
$
69.00
CAD
Size
2inch
3inch
4inch
Quantity
1
2
3
4
5
6
7
8
9
10
Hip Kit
$
39.00
CAD
Includes Reacher, Long Handle Sponge, Shoehorn, laces and sock aid
Reacher Size
26 inch
32 inch
Roylan Elevating Leg Splint
$
79.00
CAD
SAM C6186
Serenity Raised Toilet Seat
$
49.00
CAD
GOR 64602-04-06
Size
2inch
4inch
6inch
3.5 Inch Elongated Seat Riser
Toilet Arm rests
$
49.00
CAD
CAR B368CA
Tub Rail
$
59.00
CAD
CAR B204-00
Shower Seat
$
69.00
CAD
CAR BSCWBA- Padded Arms, Adjustable Height and Removable Back
Tub Transfer Bench
$
99.00
CAD
CAR BSTB
Stationary Commode
$
79.00
CAD
AMG 770-315
Two Wheeled Walker
$
75.00
CAD
DMC 10211 10210
Size
Adult
Junior
Crutches
$
35.00
CAD
Choose Folding - CAR A995CA or Non-Folding - DMC 10400
Type
Folding - 250lb Weight Cap
Non-Folding - 350lb Weight Cap
Bed Rail
$
99.00
CAD
STD 5000
Hip Chair
$
400.00
CAD
Brown Vinyl Padded Steel - DMC 17100-BV
Hand Shower Wand
$
39.00
CAD
AMG 770-980
Knee Positioning Bolster
$
90.00
CAD
COR 918 - 6x24inch
Ossur Cold Rush with Pad
$
290.00
CAD
Pad Type
Knee Pad
Hip Pad
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
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