New | Order - A Better Walker

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* Up to 80% of A Better Walker may be covered by Medicare when prescribed by a Doctor or Medical Professional in States that we are licensed in.

* Secondary Insurance may cover the remaining 20%.

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Hours of Operation

Monday: 8:30 AM – 12 PM, 1 PM – 5 PM

Tuesday: 8:30 AM – 12 PM, 1 PM – 5 PM

Wednesday: Closed

Thursday: 8:30 AM – 12 PM, 1 PM – 5 PM

Friday: 8:30 AM – 12 PM, 1 PM – 5 PM

*Closed 12 PM – 1 PM for Lunch

"*" indicates required fields

Patient First Name*

Patient Last Name*

Patient Middle Name*

Date of Birth*

MM slash DD slash YYYY

Gender*

Male

Female

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Insurance Info/Medicare*

Drop files here or

Max. file size: 10 MB, Max. files: 3.

Physician - NPI

Diagnosis Code

Walker ordered

Prescription from the doctor

Max. file size: 50 MB.

Name on Card*

Credit Card Number*

Expiration Date*

MM slash DD slash YYYY

CVV*

Email

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