Equipment Reservations      [Back]

Wherever you are, we can get the equipment to you by one of these methods: 

This equipment is small and portable enough to fit in any small car.  Please try to schedule at least 2 weeks in advance to avoid costly shipping charges and/or equipment shortages.

Rental prices:

1) Face Support
2) Bed Armrest Shelf
-or-
3) Sleep System
$79/week
$9/week
-or-
$88/week
4) Seated Support $109/week
5) Facedown Periscope Mirror $9/week
-Or-  
Vitrectomy Support Package
(1&2 or 3, 4, 5)
$179/week

Just fill out the following information below and a representative will be contacting you to finalize your reservation.

 

Name-example,  John M. Doe

 

Street Address

 

City State Zipcode

 

Phone #

 

E-mail Address Cell # (Optional)
Name of Surgeon (Optional)

 

Your Surgery Date Need Date
Male  Female
Your Height

 

Your Weight
Yes   No
Any Smokers in your Household?