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  • Service - Repair Agreement

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  • POA - Family contact information

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  • I* am aware that it could take 3-4 business days for a service-repair assessment to take place. I agree to let Capital Home Medical Equipment bill my credit card (as seen below) for the repair rates listed below.

  • Parts billed separately: Client will be contacted prior to moving forward for any charges over and above tha base cost listed above.

    Client will be billed automatically for repairs and assessment when they are completed.
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  • Kanata

    Kanata

    Hazeldean Mall 17 - 300 Eagleson Road Kanata, ON K2M 1C9
  • Barrhaven

    Barrhaven

    Medical Centre 205 - 16 Green Street Nepean ON K2J 3R2
  • Downtown

    Downtown

    The Doctor's Building 120 - 267 O'Connor Street Ottawa, ON K2P 1V3
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