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Bariatric Equipment
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Phone Number:
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Patient First Name:
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Location of Equipment:
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Equipment Type:
Air Flotation Bed
Air Fluidized Bed Head Elevating
Air Fluidized Tub Style
Bari Low Bed no scale
Bari Low Bed w/scale
Bari Shower Commode
Bariatric Air Mattress
Bariatric Bed no scale
Bariatric Bed w/scale
Bariatric Commode
Bariatric Foam Mattress
Bariatric Homecare Bed
Bariatric Lift
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Bariatric Transfer Chair
Bariatric Trapeze
Bariatric Walker
Bariatric Wheelchair
Bariatric bed no scale
Bed Enclosure
Broda Chair
Free Standing Trapeze
Hi/Lo Bed
Hi/Lo Bed Table
Hi/Lo Mattress
Homecare Bed
Homecare Foam Mattress
Homecare Mattress
Mattress AP
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Mattress LAL/Rotating
Mattress Rotating
Overlay AP
Overlay LAL
Overlay LAL/Rotating
Patient Transfer Device
Rehab Bed
Rotating/Percussion Mattress
Rotation/Percussion Bed
Transfer Chair
Wheelchair Standard
Other
Stop Date:
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Dec. 18, 2024
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Dec. 18, 2022
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Bariatric Equipment
Support Surfaces/Wound Care
Air Fluidized & Specialty Beds
Safe Patient Handling Products
Homecare Equipment
Broda Chairs