Kerae Medical Order Form Agency Name Agency Phone Number Priority UrgentRegular Fax Number Location Type ALF Home SNF Hospital Other Please fill out if you selected Other Client/Patient Name Client Height Client Weight Client Phone Number Main Contact Name Main Contact Phone Number Delivery Address Email 1. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 2. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 3. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 4. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 5. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 6. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 7. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 8. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 9. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity 10. Product 258 Pieces First Aid KitAdult Underwear Diaper (Large, 18 Count)Adult Underwear Diaper (Medium, 20 Count)Adult Underwear Diaper (X-Large, 14 Count)Adult Unisex Incontinence Booster Pad (Pack of 25)Anti-Bedsore Hospital Bed MattressAnti-Decubitus Air MattressArm Blood Pressure MonitorBath Chair with ArmrestBedside CommodeBioland Blood Glucose Test Strips (50 Strips, 2 Vials)BiPAP System MachineBlack Tube Leather Covered Fully Reclining WheelchairCPAP System MachineDiabetes Testing KitDisposable Mouth Swabs SpongeElectric Three Function Hospital BedFive Function Folded Ultra Light Hospital BedFive Function Six Speed BedFoley Catheter Stabilization Device – Foley Stat Lock (4/Pack)Foley Tie Velcro Catheter Holder (4/Pack)Foldable Aluminum WalkerFoldable Rollator WalkerFour Wheel Shower Chair with CommodeFour-Legged Crutch Walking StickGauze Bandage Sterile (4.5 in x 4.1 Yds)High Elastic Bandage (7.5 cm x 4.5 cm)Hospital Overbed TableHydrocolloid Foam DressingHoyer LiftMultifunctional Electric Transfer LiftMultifunctional Electric Transfer Lift for HomecareMultifunctional Mattress – Hard CottonMultifunctional Semi-Home Hospital Mattress (Hard Cotton)No Touch ThermometerNon-Sterile Gauze Sponge (10 cm x 10 cm, 8 Ply, 2 pcs/pack)Non-Woven Fixing TapeNon-Woven Isolation Gown – BlueNon-Woven Shoe CoversOxford Cloth Integrated WheelchairOxygen Humidifier Bottle (350 ml)Portable Mesh Nebulizer MachinePortable Nebulizer – MeshPortable Oxygen Concentrator TP-B1Portable Oxygen Concentrator YK1001SPortable Vacuum Suction MachinePulse Oximeter X1805Raised Toilet CommodeRelief Adult Wet WipesRelief Body LotionRelief Disposable Adult Diaper – LargeRelief Disposable Adult Diaper – XLRelief Disposable UnderpadRelief Perineal Skin Protectant CreamRelief Perineal Wash – Aloe Vera, No Rinse CleanserRelief Shampoo & Body WashShower ChairSilicone Foam Dressing 4" x 4"Silicone Foam Dressing 6" x 6"Stethoscope Manual Blood Pressure Kit with CuffSuper Soft Touch Vinyl Nasal Oxygen Cannula (7 Feet, 5/Pack)Tegaderm Transparent Film Dressing (4 in x 4.75 in / 10 cm x 12 cm, 25/Pack)Twist Lancet (50 Lancets)Widening WheelchairWound Closure Device – Zip Suture (2 in x 3 in / 6 cm x 7 cm, 4/Pack) Description Quantity Approved Signees Important: If you are unable to sign for the delivery, please list any approved signees below. 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