Compression Garments Through Insurance

[1] I hereby authorize Neb Doctors/Pumps for Mom (herein referred to as &#;Provider&#;) to provide the equipment prescribed above. I understand that Provider is an independent company and not part of any other medical practice, hospital or other company. [2] I understand if my insurance coverage is denied or if I have a deductible or co-pay to meet, I am responsible for paying the Provider the usual and customary price for the above-listed product(s). [3] For a copy of the Provider&#;s Privacy Policy, Patient/Client Rights and Responsibilities, Supplier Standards, and Provider Policies, visit www.pumpsformom.com/resources. User Manuals can be found on the product&#;s page. [4] I certify that I have read the terms and conditions of this agreement with the attachments listed above and agree to its content. I have also been instructed on properly and safely using the above-listed equipment. [5] I authorize the Provider to contact me by , , or text. We will not share this information.

If you want to learn more, please visit our website Fangang.

Maternity Compression Qualification Through Insurance

Are you interested in learning more about Pelvic Brace For Pregnancy? Contact us today to secure an expert consultation!

We are here to help you process your request for maternity compression! The information we collect on this form is required for insurance benefit confirmation and the processing of your order.

In preparation of your baby&#;s arrival, we will confirm your insurance benefit ahead of time. We then contact you to assist you with your selection and confirm your insurance.

For more Maternity Postpartum Support Beltinformation, please contact us. We will provide professional answers.