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Rental Agreement

Fields with an Asterisk (*) Are Required

Patient Sex
Pickup Or Delivery
Pickup From Our Tampa Location
Pickup From Our Largo Location
Delivery (Additional Charges May Apply)
Will the Equipment be used on rough terrain or in soft sand?
Is this the first time renting this type of equipment?
Are you renting this equipment as a result of a fall?

Store Locations and Contact Information

Health Aid Medical - Tampa

4502 N Armenia Ave, Tampa, FL 33603

Phone: (813) 879-7552

Toll Free: (800) 835-8513

Fax: (813) 876-2621

Email: sales@healthaidcompany.com

Hours: M - F 9am - 5pm Saturday 9am - 12pm

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Health Aid Medical - Largo

1156 Jasper Street, Largo, FL 33770

Phone: (727) 586-2995

Toll Free: (800) 831-9099

Fax: (727) 588-0899

Email: largosales@healthaidcompany.com

Hours: M - F 9am - 5pm

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