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Contact Us for all of your Medical Supplies and Doctor's Orders. durable mobility aids, home medical equipment, personal care products, and all home healthcare aids supplies, in the Houston, Katy, Cypress area. Mobility Aids Nutrition Breast Pumps Braces First Aid & Woundcare Diabetes CPAP Bathroom Aids Respiratory Incontinence Compression Underpads Bath & Body Ostomy & Urology Pediatric Check if you Qualify for CGM Therapy & Rehabilitation Rentals Forms Resources Clearance WONACE Medical – Your Best Source for Medical Supplies and Equipment Contact Us We provide a wide range of essential supplies, including: Diabetes Monitors – Freestyle Libre and Dexcom for accurate glucose tracking Mobility Aids – Electric wheelchairs, scooters, rollators, and disability scooters Autism Medical Supplies – Cubby Beds for enhanced safety and comfort Complex Rehab Solutions – Custom wheelchairs, seating, and backrests CPAP Machines and Accessories – CPAP masks, tubing, and sleep aids Home Healthcare Supplies – Gloves, wipes, adult diapers, ostomy supplies, and wound care Hospital and Therapy Equipment – Breast pumps, oxygen machines, and physical therapy aids Medical Rentals – Affordable rental options for wheelchairs, scooters, and home health equipment Our experienced team is ready to help you find the right medical supplies and guide you through the insurance process. We accept major insurances, including Medicare, Blue Cross Blue Shield, Cigna, and UnitedHealthcare. Looking for reliable medical supplies and equipment? WONACE Medical is the top choice for high-quality products in Houston, Katy, and Cypress, TX, and nationwide. Shop online from the comfort of your home at wonace.com and have your order shipped nationwide – fast and easy, and for the best selection of medical supplies covered by insurance. 810 HWY 6 S, Suite 102 Houston, TX 77079 Phone: 281-810-3123 Fax: 877-787-4705 Email: dme@wonace.com Opening Hours : Monday – Thursday: 9 am - 4 pm Friday: 10 am - 4 pm Saturday & Sunday: Closed First Name Last Name Phone Email Message Send Thanks for submitting! WONACE Medical Supply is the leading Medical Supply Store in Houston, across Texas, and throughout the United States, trusted for fast, affordable, insurance-covered medical equipment and home healthcare products. As one of the top-rated medical supply companies nationwide, WONACE provides diabetes supplies like Dexcom G7 and FreeStyle Libre, custom rehab equipment, power wheelchairs, bariatric medical equipment, or pediatric medical equipment, complex mobility devices, CPAP machines, breast pumps, incontinence supplies, wound care products, and a full range of durable medical equipment (DME) delivered directly to your home. Patients, caregivers, clinics, rehabilitation centers, and hospitals choose WONACE because we offer nationwide shipping, accept major insurances, and provide unmatched customer service with rapid approvals, expert guidance, and reliable support. If you’re searching for the best medical supply store in Houston, the top medical equipment provider in Texas, or a trusted nationwide DME supplier in the USA, WONACE Medical Supply is your one-stop solution for high-quality medical supplies, insurance billing, and fast delivery. Follow Us Instagram Facebook Durable Medical Equipment (DME) for Home Use, Medical Supplies and Equipment for Chronic Conditions, Breast Pumps, Home Medical Equipment for Elderly and Disabled Individuals, Mobility Aids for Seniors and Individuals with Disabilities, Respiratory Equipment for COPD and Asthma Patients, Wheelchairs for Mobility Impaired Individuals, Hospital Beds for Home Use and Long-term Care Facilities, Compression Garments for Venous, Insufficiency and Lymphedema Patients, Orthotics for Post-surgery and Injury Recovery, Prosthetics for Amputees and Limb Loss Patients, Walking Aids for Balance and Mobility Support, Bathroom Safety Equipment for Fall Prevention, Wound Care Supplies for Diabetic and Pressure Ulcer Patients, Diabetic Supplies for Blood Sugar Management, Ostomy Supplies for Colostomy and Ileostomy Patients, Incontinence Supplies for Bladder Control Management, Bariatric Equipment for Overweight and Obese Individuals, Patient Lifts for Safe and Easy Transfer of Patients, Lift Chairs for Comfortable Seating and Mobility Support, Scooters for Outdoor Mobility and Independence, Power Wheelchairs for Independent Mobility and Improved Quality of Life, Continuous Positive Airway Pressure (CPAP) machines for Sleep Apnea Patients, BiPAP machines for Sleep Apnea Patients with Respiratory Distress, Nebulizers for Asthma and COPD Patients, Enteral Feeding Pumps for Tube Feeding Patients, Infusion Pumps for Pain Management and IV Therapy, Oxygen Concentrators for Home Oxygen Therapy, Portable Oxygen Concentrators for Travel and Outdoor Activities, Cervical Collars for Neck Support and Injury Recovery, Knee Braces for Knee Pain Management and Injury Recovery, Ankle Braces for Ankle Pain, Management and Injury Recovery, Back Braces for Back Pain Management and Injury Recovery, Hip Protectors for Fall Prevention and Hip Fracture Prevention, Pressure Relief Mattresses for Bedridden Patients and Pressure Ulcer Prevention, Walking Boots for Foot and Ankle Injury Recovery and Support. 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WONACE Medical Supply works with Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, Tricare, Ambetter, and more to provide insurance-covered medical supplies and durable medical equipment (DME) nationwide. A A.I.G Claim Services A.S.G Claim Services AARP & AARP Medicare Complete Abercrombie, Simmons, Gillette ABP - Administration Aetna & Aetna Medicaid + CHIP Aflac Incorporated AFSA Flightcare Allmerica Financial Amcare Health Plans of TX Americaid Community Care American Capital Insurance American Life and Accident American Pioneer Life American Republic Insurance Amerigroup / Amerivantage Amerihealth Amerisure Insurance Company Anthem Life Aon Select APWU Health Plan B Bankers Life & Casualty Beechstreet Benefit Planners Benesight Blue Cross & Blue Shield Boon-Chapman Fiesta Insurance Boon-Chapman PPO Bravo by Elder Health C C.N.A. Insurance Company Cambridge Integrated Care Improvement Plus CareCentrix CCN Preferred Provider Network CGU Insurance Company Champ VA Champion International Choice Care - Humana Cigna CoastalComp Health Networks Community Health Choice Continental Life insurance Cook Children's Health Plan Core Source Healthcare Cunningham Lindsey CMS, Inc. Coventry Healthcare Crawford and Company D Dallas General Life Ins. Driscoll Children's Health Plan E EBI Insurance Company Elder Health Evercare Choice / Star Plus F Fara Benefit Services Federated Mutual Insurance Fireman’s Fund Insurance First Health Focus Healthcare Fremont Insurance Company G Gallagher Basset Services GE Life & Annuity GEHA General American Great West Health Care Greater Houston IPA Guardian Life Insurance Co. Gulf South Administrators H HAS - Health Administration Services HCC Administrative Inc. Health Cost Solutions Health First Health Net Health Risk Management Healthsmart PPO Highmark Blue Cross Blue Shield HMO Star Plus Homelink Houston Health Purchase Org. I I.C.H.A. I.H.D.S. Intracorp K - L Kelsey Seybold IPA Liberty Mutual Insurance Life Insurance Company of Georgia Louisiana Medicaid Program M Mayo Management Services Medicaid Home Health DME Medical Medical Mutual of Ohio Medicare Memorial Hermann Health Plan Methodist Care Metropolitan Transit Authority Molina Healthcare of Texas Mutual of Omaha Insurance Co. N NALC Insurance Company National Automatic Sprinkler National Foundation Life National Heritage Insurance Co. National Preferred Provider New Era Life Insurance Nylcare Health Plans O Oklahoma Healthcare Authority One Health Plan P P.H.C.S. Pacific Care PPO Parkland Community Health Plan PCCM (Primary Care Case Mgmt) Phoenix Group Services Physicians Mutual Insurance Pioneer Life Insurance Co. 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https://www.wonace.com/cubbybeds The Cubby Bed combines safety, comfort, and sensory technology to create the ideal sleep environment for children with special needs. Insurance accepted and shipping available. Shop at WONACE Medical Supply for Cubbybeds. Click Here to Get a Cubby Beds Referral's Rebate Cubbybeds Best-in-Class Sleep and Safety for Special Needs! Cubbybeds offers best-in-class sleep, safety, and sensory benefits for individuals with special needs and Autism. Get Approved by Insurance Download Flyer Sleep + Sensory Canopy Raising a child with special needs comes with unique challenges, which is why we’ve designed a bed that promotes restful sleep while also providing a secure and calming environment that your kiddo will love. Soothing Speaker Play relaxing sounds or music through the speaker directly from your device or simply use the pre-loaded nature sounds. When necessary, an auxillary connection is also available. App Enabled Camera, Mic, Environmental Sensors The Tech Hub features a camera, mic, and environmental sensors, in a safe and durable housing that zips right into the Cubby Bed. Set up safety alerts so you can be notified even while you sleep. Get Approved by Insurance Helpful Videos Cubby Beds is the Most Advanced Special Needs Bed for Autism, Sensory Processing Disorder (Global Developmental Delay), Intellectual disabilities, Epilepsy & Seizures, Down Syndrome, Cerebral Palsy, Angelman Syndrome, Smith Magenis Syndrome, Retts Syndrome, Blindness, Abnormal Head Movements, Fall From Bed, Self Harm, Pica, and Wandering. WONACE Medical Supply is proud to partner with Cubby Beds as one of the largest DME suppliers in Texas and across the U.S. We provide these innovative, sensory-friendly sleep systems designed for individuals with special needs to ensure safety, comfort, and improved well-being. As a trusted supplier, WONACE Medical Supply helps families and healthcare providers navigate the insurance approval process for Cubbybeds. To get started, visit wonace.com/cubby-beds or fax referrals directly to 877-787-4705. Let us assist you in getting the right support for your loved ones. Cubbybeds at WONACE Medical Supply: Best-in-Class Sleep and Safety for Special Needs WONACE Medical Supply is your trusted source for Cubbybeds, designed to provide unparalleled sleep, safety, and sensory benefits for individuals with special needs. Our Cubbybeds are crafted with care to ensure a secure and comfortable environment, enhancing the well-being of those who need it most. We specialize in selling and billing insurance for medical supplies, making it easier for families to access these essential products. Choose WONACE Medical Supply for top-quality Cubby Beds and exceptional customer service. Insurance Requirements for Cubby Bed Required: Cubby Bed Rx from Primary Care Doctor / Pediatrician Required: Letter of Medical Necessity (LMN) stating the medical needs for a Cubby Bed Documentation of other lesser costly alternatives being tried and a clear indication that the different solutions have failed or are not suitable for the patient Signed by the prescribing Primary Care Doctor / Pediatrician Recommended: Completed Written Order Form evaluating the patient's medical needs Recommended: Patient Documentation (chart notes) supporting the medical need for the Cubby Bed Get Approved by Insurance Sleep and Safety for Special Needs: The Innovative Design of Special Needs Beds Sleep is a vital component of overall health and well-being. For individuals with special needs, the importance of a safe and comfortable sleep environment cannot be overstated. At WONACE Medical Supply, we understand the unique challenges that caregivers and families face when it comes to ensuring that their loved ones receive the restful, secure sleep they deserve. That's why we offer Cubby Beds, a state-of-the-art solution designed to meet the specific needs of individuals with disabilities or special health requirements. Why Sleep Safety is Crucial for Special Needs Individuals Sleep safety is a significant concern for those with special needs, as traditional beds may not provide the necessary support or protection. Factors like limited mobility, sensory processing issues, or the need for medical monitoring during sleep require specialized beds that go beyond the ordinary. The right bed can make a world of difference in promoting better sleep, reducing nighttime anxiety, and providing peace of mind for caregivers. Cubbybeds: The Best-in-Class Solution Cubbybeds are designed with these specific needs in mind, offering best-in-class sleep, safety, and sensory benefits. These beds are crafted to provide a secure environment, preventing falls and wandering while ensuring that individuals feel comfortable and supported. Key Features of Cubby Beds: Safety: The primary focus of Cubby Beds is safety. These beds are built with reinforced frames, high sidewalls, and secure openings to ensure that the individual remains safe throughout the night. The design minimizes the risk of injury and allows caregivers to rest easy knowing their loved one is secure. Sensory Benefits: For individuals with sensory processing disorders, creating a calm and soothing environment is essential for a good night’s sleep. Cubby Beds are designed to be sensory-friendly, with options to customize the bed’s interior to suit the individual’s sensory preferences. Comfort: Beyond safety and sensory considerations, Cubby Beds are built for comfort. The mattresses and interior materials are selected to provide optimal support, reducing the risk of pressure sores and ensuring that the individual sleeps soundly. The Tech Advantage: Enhancing Sleep and Safety with Technology One of the standout features of Cubby Beds is the integration of advanced technology options that enhance both sleep and safety. These tech options are designed to provide caregivers with additional tools to monitor and interact with the individual, making Cubby Beds a truly modern solution for special needs care. Tech Options Include: Cameras: Built-in cameras allow caregivers to monitor the individual without disturbing their sleep. This feature is particularly useful for overnight monitoring, enabling caregivers to ensure that the individual is safe without needing to be in the room. Speakers: Integrated speakers can be used for playing calming music or white noise, helping to create a soothing environment that promotes better sleep. Additionally, speakers can facilitate communication between the individual and the caregiver, providing reassurance when needed. Microphones: Microphones allow for clear communication between the individual and the caregiver. This is especially important for individuals who may need to call for help during the night but have difficulty leaving their bed. Lights: Adjustable lighting options within the bed provide a gentle glow that can be comforting for individuals who are afraid of the dark or need low-level lighting to feel safe. These lights can be controlled remotely, allowing caregivers to adjust the brightness as needed. The WONACE Medical Supply Advantage At WONACE Medical Supply, we are committed to providing high-quality products that meet the unique needs of our customers. We not only offer Cubby Beds but also handle insurance billing, making it easier for families to access the specialized equipment they need. Our team is here to help you navigate the process of selecting the right bed for your loved one, ensuring that all their sleep and safety needs are met. With Cubby Beds, you can provide a safe, comfortable, and technologically advanced sleep environment that promotes better health and well-being for individuals with special needs. Looking for the perfect sleep solution for individuals with special needs? WONACE Medical Supply offers Cubby Beds—renowned for their best-in-class sleep, safety, and sensory benefits. Ideal for creating a secure and comfortable environment, Cubby Beds are designed to meet the unique needs of those who require extra care. Enhance sleep quality and safety with our top-tier beds, available at WONACE Medical Supply. Getting Special Needs Medical Supplies Covered by Healthcare Insurance Through WONACE Medical Supply Families and caregivers of children or individuals with special needs often face the challenge of finding affordable, high-quality medical equipment that truly supports safety, comfort, and independence. The good news? Many of these essential products can be covered by healthcare insurance, and WONACE Medical Supply is here to make that process simple, fast, and stress-free. Who We Help At WONACE Medical Supply, we work closely with families, caregivers, therapists, and insurance care coordinators to provide special needs medical supplies and adaptive equipment that meet individual needs. Our mission is to help patients gain access to medically necessary products that enhance mobility, communication, and daily living, all while making sure insurance covers as much as possible. Common Special Needs Medical Equipment Covered by Insurance WONACE Medical Supply helps families and clinics access a wide range of adaptive and complex rehab equipment through insurance, including: Adaptive Tricycles – promote mobility, coordination, and confidence for children with physical disabilities. Activity Chairs & Compass Chairs – provide postural support and positioning for children during school or therapy. Standers & Mobile Standers – help children experience upright positioning, promoting bone and muscle health. Bathing Systems & Tub Transfer Benches – ensure safe, comfortable hygiene care for children with limited mobility. HTS (Hygiene & Toileting Systems) – adaptable systems designed for bathroom safety and dignity. Gait Trainers & Pacer Walkers – support mobility training and independence for those learning to walk. Support Stations – encourage independence in transfers and standing activities. Pediatric Wheelchairs (manual, tilt-in-space, and power) – fully customized to fit the child’s size, posture, and therapy goals. All of these adaptive products are considered durable medical equipment (DME) and may qualify for insurance coverage when prescribed by a physician or therapist. How WONACE Makes Insurance Coverage Easy Navigating insurance paperwork can be overwhelming. WONACE Medical Supply simplifies it through our dedicated insurance support team, who handle every step of the process: Verification of Benefits – We confirm if your insurance plan covers specific adaptive or special needs equipment. Documentation Assistance – Our team works with your doctor or therapist to gather the medical necessity forms. Prior Authorization Submission – We submit all required paperwork to your insurance provider. Approval & Delivery – Once approved, we deliver the equipment directly to your home or clinic. We work with major healthcare insurances including: Blue Cross Blue Shield (BCBS), Medicaid & Medicare Advantage Plans, Cigna, Texas STAR Kids and Managed Care Programs, and many others. Partnering with Clinics and Care Coordinators Outpatient therapy clinics, rehabilitation centers, and insurance care coordinators trust WONACE to manage the equipment and billing process for their patients. We provide professional documentation, reliable communication, and prompt delivery — so providers can focus on patient outcomes while we handle the rest. Why Families Choose WONACE Medical Supply We specialize in pediatric and special needs equipment We bill healthcare insurance directly We work with therapists and providers for medical justification We ensure fast approval and delivery We offer compassionate customer care every step of the way From adaptive seating systems to complex rehab mobility solutions, WONACE ensures your loved one receives equipment that fits their specific needs, both physically and financially. Get Started with WONACE Medical Supply Getting the right special needs medical equipment covered by insurance doesn’t have to be difficult. Let WONACE Medical Supply make it simple. Visit: wonace.com | Call: 281-810-3123 | Fax: 877-787-4705 📍 Serving: Houston, TX, and nationwide WONACE Medical Supply — helping children and adults with special needs access the adaptive equipment they deserve, through healthcare insurance. Cubby Beds: Comprehensive Solutions for Kids and Adults with Special Needs Cubby Bed for Kids: Designed specifically for children with special needs, Cubby Beds provide a safe and comfortable sleep environment with advanced features like secure enclosures, sensory-friendly elements, and smart technology for monitoring and communication. Cubby Bed for Autism: For children and adults with autism, Cubby Beds offer calming environments that help reduce anxiety, improve sleep quality, and ensure safety with integrated smart features such as cameras, microphones, and customizable lighting. Cubby Bed Insurance: WONACE Medical Supply can assist in navigating insurance coverage for Cubby Beds, making it easier for families and clinicians to get access to these specialized sleep systems through their insurance provider. Cubby Bed for Adults: Although commonly used for pediatric care, Cubby Beds are also available for adults with special needs, providing the same level of safety, comfort, and technological support to enhance sleep and well-being. Cubby Bed Reviews: Families and clinics consistently praise Cubby Beds for their innovative design, safety features, and positive impact on sleep quality, particularly for individuals with sensory processing issues or mobility limitations. For more information on Cubby Beds and insurance options, visit WONACE Medical Supply today! Cubby Beds Supplier: Smart Beds for Special Needs – Available at WONACE Medical Supply in Texas and Nationwide Are you looking for the best smart bed for special needs? Cubby Beds offers advanced safety, comfort, and sensory solutions for pediatric users, designed with features like built-in cameras, speakers, microphones, and lights. Ideal for pediatric clinics and clinicians across Texas and nationwide, these smart beds enhance care quality while ensuring a safe, sensory-friendly environment for individuals with special needs. WONACE Medical Supply proudly offers Cubby Beds, making it easy for clinicians, caregivers, and families to order top-tier smart beds that fit the unique needs of their patients. From pediatric care facilities to home use, our smart beds for special needs provide the latest in sleep safety technology. Get Cubby Beds approved by Insurance. Order today through WONACE Medical Supply for nationwide delivery and expert service. Keywords: Cubby Beds Smart beds for special needs Pediatric Smart Beds Texas Clinician-recommended special needs beds Texas pediatric smart beds WONACE Medical Supply smart beds Order Cubby Beds nationwide Medical Equipment for Autistic Kids: A Parent’s Guide Supporting autistic children with the right medical equipment can greatly enhance their daily lives by addressing sensory sensitivities, communication challenges, and mobility needs. Sensory integration tools, such as weighted blankets, noise-canceling headphones, and sensory swings, help regulate sensory input, promoting calmness and focus. Communication devices, like AAC systems and PECS, enable non-verbal children to express themselves effectively, reducing frustration and building confidence. Mobility and safety equipment, including adaptive strollers, safety harnesses, and GPS trackers, ensure children remain secure and independent, especially for those prone to wandering or mobility challenges. Sleep aids like weighted sleep sacks and specialized beds, such as Cubby Beds , create a calming environment for better rest, while adaptive seating and positioning tools improve posture, focus, and comfort during daily activities. Therapeutic tools and complex bathroom equipment also play vital roles in fostering independence and skill-building. Items like therapy balls, visual timers, and adaptive toileting aids make self-care and therapeutic routines more manageable. WONACE Medical Supply offers a comprehensive range of these products, coupled with expert guidance and insurance support, ensuring families can access the tools needed to improve their child’s quality of life.

https://wonacedme.wixsite.com/mysite/dme-rx-form DME/RX Form WONACE Medical provides durable medical supplies, diabetes monitors, mobility aids, CPAP machines, and special needs equipment with insurance options. DME/RX Form WONACE Medical Supply https://static.wixstatic.com/media/9120b0_92da6821250f4d8a8d166bb4363a5dff%7Emv2.png WONACE Medical Supply and Equipment Store https://static.wixstatic.com/media/9120b0_4959defa0d4e48e9a1008eb5d9c5658d~mv2.png US TX Houston South Texas 6 DME/RX Form Please fill out this form as best you can so we can provide you with the most relevant service. FAX OTHER DOCUMENTS TO: 877-787-4705 Patient First and Last Name Email Phone Address Date of Birth * required Primary Insurance Secondary Insurance Enter Insurance Number Height Weight Insurance Type * PPO HMO Date of Face to Face * required SECTION B: Requested Durable Medical Supplies and Equipment Supplies * Powered Wheelchair Electric Scotter Freestyle Libre Dexcom Other Enter: Item - Quantity - ICD Code Upload Doctor's prescription or FAX 832-877-4705 Upload File Upload supported file (Max 15MB) Other Upload or FAX 832-877-4705 Upload File Upload supported file (Max 15MB) SECTION C: Physician Information and Signature Physician First and Last Name Physician Phone Physician Fax NPI# By signing this form, I hereby attest that the information completed in Section "B" is consistent with the determination of the patient's current medical necessaity and prescription. By prescribing the identified DME and/or medical supplies, I certify the prescribed items are appropriate for the patient. Signature of Prescribing Physician Clear Date * required Any additional comments? Submit Thanks for your submission, We'll get back to you right away!

WONACE Medical: Trusted provider of mobility aids, diabetes monitors, CPAP machines, and special needs equipment in Houston and nationwide. We Bill Insurace. Shop for durable medical supplies! Freestyle Libre, Dexcom, Custom wheelchairs, Cubby beds, and more for patients and caregivers.

Find top medical supplies in Katy, TX with WONACE. Get CPAP machines, wheelchairs, Dexcom G7, and home medical equipment covered by insurance with fast delivery. Mobility Aids Nutrition Breast Pumps Braces First Aid & Woundcare Diabetes CPAP Bathroom Aids Respiratory Incontinence Compression Underpads Bath & Body Ostomy & Urology Pediatric Check if you Qualify for CGM Therapy & Rehabilitation Rentals Forms Resources Clearance WONACE Medical Supply is the leading medical supply store in Katy, TX, providing high-quality durable medical equipment (DME) and home healthcare supplies to patients, caregivers, and healthcare providers. Whether you need Dexcom G7, FreeStyle Libre, CPAP machines, powered wheelchairs, hospital beds, wound care supplies, or incontinence products, WONACE delivers fast and reliably across Katy and the surrounding areas. Find top medical supplies in Katy, TX with WONACE Filter by Category All Wound Care Women's Health Men's Health Daily Living Nutrition Baby Care Gloves Incontinence Braces Bath & Body Mobility Rollators Wheelchair Breast Pumps Price $0 $20,875 Color ANGLE ADJUSTABLE FOOTPLATES (TR-A7100S) (+$175) None ANKLE POSITIONERS Hook and Loop - Side Release (PAP-100S) (+$130) Hook and Loop - Side Release (PAP-200S) (+$130) None Accessories Options Headrest BATTERY OPTIONS 1 x Additional 10AH Lithium Battery Pack 12 AH 20 AH Additional Battery box w/ Battery 24V 12AH iGo2 Battery pack No Extra Battery None BATTERY OPTIONS (SLA OR LITHIUM Lithium-Ion Upgrade (PR-JZEVO613-LI) Standard 2-12 Volt U-1 Batteries Back Cushions 1/2" Aegis treated Anti-Bacterial back cushion (St Ergonomic Memory Foam Back Cushion for 16" Seat Wi Ergonomic Memory Foam Back Cushion for 18" Seat Wi Battery Life 25.2V Lithium-ion (up to 16.4 miles) +$200. 25.2V Lithium-ion (up to 8 miles) SC40E - 12 AH SC40E - 18AH SC442E - 12AH SC442E - 18AH Up to 10 miles (Single 7.5AH Battery) Up to 19 miles (Dual 7.5AH Battery) w/40AH CALF PANEL None Soft Padded Nylon (PCP-280S) (+$85) CHOOSE SIZE 12in (TR-1200) 14Fr 14in (TR-1400) 16Fr 16in (TR-1600) 18Fr 18in (TR-1800) 3.5" x 9" 5.25" x 10" 7.5" x 13" Large-LC358L Medium - LC358M Petite Wide - LC358PW Small-LC358S Choose Coaster Size Coaster 16 inch (CTR16) Coaster 18 inch (CTR18) Cruiser 16in - CX16 Cruiser 18in - CX18 EZ Rider 16in - EZ16 (900996) EZ Rider 18in - EZ18 (900351) Rodeo 14in - RD14 (902691) Rodeo 16in - RD16 (903134) Color Pink White Contact Call 281 810 3123 Drive iGO2 Portable Oxygen Machine Drive iGO2 Portable Oxygen Concentrator (POC) Extra Cushion 1 x Simplicity Cushion None FOOT/LEG REST ASSEMBLIES Elevating Leg Rest with 8.5″×6″ Foot Plates (pair) Elevating Leg Rests with 7.25″×6″ Foot Plates (pai Heel Loops (pair) for Elevating Leg Rests (PR-FRMA Heel Loops (pair) for Swing-Away Leg Rests (PR-FRM Residual Limb Support | Left (PR-FRMASMB5301) + $2 Residual Limb Support | Right (PR-FRMASMB5300) + $ Swing-Away Leg Rest with 7.25″×6″ Foot Plates (pai Swing-Away Leg Rest with 8.5″×6″ Foot Plates (pair Flavor Chocolate Coffee Strawberry Vanilla Footrest Elevating Leg rest +$405.00 Swing-Away – Standard Frame Type 16” Seat Width 18" Seat Width HEADREST EXTENSION (TR-A1201) (+$120) Headrest Extension - Curved.Cordura (+$134) None Head Canopies Extended Headrest Cover (Canopy) (+$260) Headrest Cover (Canopy)(+$245) Headrest Headrest None Options 1 Bag 24 Case The Luna The Luna With Battery +$40.00 Up to 13 mile & 17.5" Seat width Up to 13 mile & 20" Seat width Up to 19 mile & 17.5" Seat width Up to 19 mile & 20" Seat width Quantity 250 5000 1 Bag - 1000 ml 1 Bag - 1500 mL 1 Bag - Case of 6 1 Bag of 20 1 Bof of 10 (2x2) 1 Bottle 1 Box 1 Box of 10 1 Box of 10 (4x5) 1 Box of 18 1 Box of 25 1 Box of 30 1 Box of 40 1 Box of 50 1 Box of 80 1 Case of 24 1 Case of 4 1 Case of 5 1 Case of 6 Packs 1 Case of 6 Rolls 1 Case of 72 1 Each 1 Pack of 100 1 PK of 200 1 Roll 1-Each 1-Each of 2x2 1-Each of 4x5 10-Pack 100 Box 100 Count 1000 Box 100ml 12-PLY 4x4 120ml 16-PLY 4x4 200-Pack 24 Case 25 Case 250ml 3.4 x 3.6 Inches - 1 Box of 96 3.4 x 3.6 Inches - 1 Pack 30 Pack 4 X 4 - 1 Dressing 4 X 4 - Box of 25 4 x 4.75 Inches - 1 Packet 4 x 4.75 Inches - Box of 10 4.5 x 4.1 Inches - 1 Box of 100 4.5 x 4.1 Inches - 1 Pack 40 Box 48 Count 48 Count - Case of 12 5 x 9 inches - Case of 400 5" X 9" - Box of 20 5" X 9" - Box of 25 50 Count 50-Pack 6-3/4 X 6-7/8 Inch 7.5 x 8 inches - Case of 240 7.5x8 inches - Box of 12 8 x 10 inches - Case of 360 8" X 10" - Box of 24 8"x10" - Box of 18 8.5 x 9 Inches - 1 Packet 96 Count 96 Count - Case of 6 Box of 1 Box of 10 Box of 20 Box of 25 Box of 5 Case of 12 Case of 18 Case of 24 Case of 48 Case of 5 Case of 8 I Box of 10 Pack 50 Pack of 200 Pack of 2000 Pack of 5000 Rear Wheels 14x1 3/8” flat free polyurethane transport version 20x1 3/8” flat free polyurethane self propel wheel SEAT OPTIONS 10" 12" 16"Wx16"-18"D-(PR-MEC2007667) 18"Wx18"-20"D-(PR-MEC2007668) 20"Wx18"-20"D-(PR-MEC2007669) + $50.00 SWING AWAY JOYSTICK OPTIONS Swing-Away Joystick Mount | In-line - Right (PR-KI Swing-Away Joystick Mount | In-line-Left (PR-KIT19 Seat Cushions 1/2" Aegis treated Anti-Bacterial seat cushion (St 16x17 Memory Foam Cushion for Seat +$176.00 18x17 Memory Foam Cushion for Seat +$176.00 None Stealth Simplicity Cushion 17'Wx17'D Seat Depth 16” seat depth (standard) 18” seat depth +$240.00 Seat Size 12" 14" 16 inch 18 inch 18"W X 18"D (SET147133) 18"W x 18"D. 60" Lap Belt 20 inch 20"W X 20"D (SET1800951) 22"W x 20"D. 60"Lap Belt 22"Wx18"D (SET156122) Select Scent: Scented Unscented Shield Kit Options 15mm 17mm 19mm 21mm 25mm 29mm Just Genie Advanced Size 1 2 3 4 5 6 0.5oz 1 Box of 200 1 Each 1 Gal 1 pk of 10 1 pk of 5 1.5oz 10 Fr 3mL Size - 5 mL 10ml 16 Fr/Ch (10 mL) 16 Fr/Ch (5 mL) 16 in W x 16 in D x 2 in H 16 in W x 16 in D x 3 in H 16 oz 18 Fr/Ch (10 mL) 18 Fr/Ch (5 mL) 18 in W x 16 in D x 2 in H 18 in W x 16 in D x 3 in H 18 in W x 18 in D x 3 in H 18 X 24 Inch 20 in W x 16 in D x 2 in H 20 in W x 16 in D x 3 in H 20 in W x 18 in D x 3 in H 23 X 36 Inch 250mL - 1 Each 250mL - Case of 24 28 Count 29 Long 2X-Large - 12 Count 2XL 2XL - 12 Count 30 X 30 Inch - 10 Count 30 X 36 Inch 30 X 36 Inch - 10 Count 34 X 36 Inch 34" - 39" (W) x 80" (L) x 6" - 8" (H) 35" x 80" x 7" 35" x 84" x 7" 36 Long 36 X 52 Inch 36 X 72 Inch 39" - 43" (W) x 80" (L) x 6" - 10" (H) +$40.00 39" x 80" x 7" 3ml 3XL 42" x 80" x 7" 45 Count 48Long 4x4 4XL 4XL-Biege 4XL-White 500mL - 1 Each 500mL - Case of 18 6 Fr 1.5ml Size - 3ml 60 Long 68 Long 6x5 8 Fr 3mL Size - 5mL 8 oz 90 Count Case of 12 Extended - 13 x 28 Inches - Case of 96 Extended - 13 x 28 Inches - Pack of 16 I Box of 10 Infant IQ-7000 IQ-8000 IQ-9000 L Large Large - 100 Large - 14 Count Large - 150 Large - 16 Count Large - 18 Count Large - 20 Count Large - 35mm Large Plus - 13 x 28 Inches - Case of 96 Large Plus - 13 x 28 Inches - Pack of 16 M Medium Medium - 100 Medium - 150 Medium - 16 Count Medium - 18 - Count Medium - 20 Count Medium - 24 Count Medium - 28mm Medium - 30mm Mini Regular Regular 27" - Case of 48 Regular 27" - Pack of 24 S Small Small - 100 Small - 150 Small - 16 Count Small - 20 Count Small - 22 Count Small - 24 Count Small - 25mm Small - 6 x 12.5 Inches - Case of 208 Small - 6 x 12.5 Inches - Pack of 52 Super X-Large X-Large - 100 X-Large - 12 Count X-Large - 130 X-Large - 14 Count X-Large - 15 Count X-Large - 20 Count X-Small X-Small - 100 X-Small - 150 X-Small - 22 Count XL XL - 14 Count XLarge - 40mm XS XX-Large XXL XXS Trunk and Pelvic Positioning Devices 3-Point Pelvic Positioning Belt(+$105) Full Torso Support Vest for 12 in. W Coasters $255 Harness Anterior Trunk Support $116 Type N10 N20 N30 with insurance & prescription with prescription with prescription only Width Size 16.5" 18.5' Wraps Back Foot/Ankle Hip Knee Shoulder Sort by Quick View AeroWalk Ultra-Lite Rollator - Drive Price $295.95 Add to Cart Quick View All-Terrain Knee Walker/Scooter with Big Wheels - Medline Price $310.99 Add to Cart Quick View Ankle Braces/Walking Boot (Short) - Boots Price $75.99 Size Add to Cart Quick View Ardo Melia Wearable Breast Pump Price $148.95 Add to Cart Quick View Ultralight Carbon Fiber Rollator Walker - byACRE Price $698.99 Width Size Add to Cart Quick View Carbon Foldable Power Wheelchair 12AH - Vocic Price $1,899.00 Add to Cart Quick View Jazzy Elite HD - Powered and Electric Wheelchair - Pride Mobility Price $5,649.00 Add to Cart Quick View 3 Pack - Dexcom G7 Sensor - 1 month supply Autoship Price $35.95 Type Add to Cart Quick View Tilting Aluminum Rehab Shower Chair Commode Price $1,658.45 Add to Cart Quick View Lightweight Tilt-in-Space VIP-515 Price $1,998.95 Frame Type Seat Depth Add to Cart Quick View Clearance Dual OA Knee Braces Price $245.99 Add to Cart Quick View Jazzy Carbon HD Folding Wheelchair - Pride Mobility Price $4,699.00 Extra Cushion BATTERY OPTIONS Add to Cart Quick View Jazzy Carbon 27X - Pride Mobility Price $4,299.00 Extra Cushion BATTERY OPTIONS Add to Cart Quick View Scout LT 4-Wheel Scooter - Drive Price $1,495.45 BATTERY OPTIONS Add to Cart Quick View Head Safety Helmet - FlexCap (9710) Price $99.00 Size Add to Cart Quick View ZooMe Auto-Flex Folding Travel Scooter Price $2,495.45 Add to Cart Quick View Shoulder Compression Ice Wrap Price $59.45 Add to Cart Quick View Head Safety Helmet - Hard Shell Helmet (9821) Price $226.00 Size Add to Cart Quick View New Super PortableFolding Mobility Scooter - Pride Mobility Price $3,569.00 Add to Cart Quick View Hinged Knee Braces Price $68.99 Add to Cart Quick View Pediatric/Adult Compressor Nebulizer System - McKesson Price $49.55 Add to Cart Quick View Audio Head Safety Helmet - AudioCap (9826) Price $295.00 Size Add to Cart Quick View Head Safety Helmet - Full Coverage Helmet (9829) Price $214.00 Size Add to Cart Quick View Head Safety Helmet - Soft Shell Helmet (9820) Price $174.00 Size Add to Cart 1 2 3 ... 23 Glucose Monitors Qualify General Supplies New Patient Form Glucose Monitors Qualify Freestyle Libre | Dexcom Cubby Beds Qualify Pro Plus | Basic CPAP Machines Qualify Resmed | Luna Mobility Aids Qualify Wheelchairs | Scooters Breast Pumps Qualify Electric | Wearables Lymphedema Device Qualify Pump | Garments Work Comp Qualify All Medical Supplies Find top medical supplies in Katy, TX with WONACE. Get CPAP machines, wheelchairs, Dexcom G7, and home medical equipment covered by insurance with fast delivery.

Complete the 'New Patient Information Form' for a seamless experience at our Medical Supply Store. Visit us today to get started! Locally and satewide. Choose from other specific Medical Supplies Forms: Dexcom and Freestyle Libre Cubbybeds Wheelchairs Breast Pumps CPAP Form Other Forms New Patient Information Form Please fill out this form as best you can so we can provide you with the most relevant service. First name Last name Phone Email Street Address Apt Number City Region/State/Province Postal / Zip code Country Country Date of Birth * required Select an option * Purchase Rental Payment Method * Cash Insurance Enter Requeted Item(s) Description (Model and Manufacturer)/(Lot, Serial Number) Enter Insurance name Insurance Type * PPO HMO Upload Insurance card (FRONT) Upload File Upload supported file (Max 15MB) Upload Insurance card (BACK) Upload File Upload supported file (Max 15MB) Upload Doctor's prescription Upload File Upload supported file (Max 15MB) Delivery Options * Pick Up at Facility Deliver to Patient/Caregiver (5 miles from our location) Do you need Home HealthCare Services? * Yes No Delivery/Shipping Address How did you hear about Us? Choose an option Enter Other Any additional comments? I acknowledge that insurance coverage is not guaranteed and that my insurance plan may not be accepted or approved. I also understand that submitting this form does not guarantee qualification or delivery of any supplies/equipment until it has been reviewed and approved by WONACE Medical Supply. I assign the right and responsibility to the Facility to bill (Insurance) on my behalf and accept payment for WONACE products and services provided to me, the Beneficiary. I understand that I am responsible to pay any deductible amount applied to the claims and the coinsurance, which is 20 percent of the allowable or approved charge for a product or service. I permit the Facility to release and collect my health information, and other information, as required (and as permitted by the HIPAA Regulations) from my health care providers and Medicare receiving payment from Medicare. I understand that this form will be maintained and made available to Medicare or its representatives. Submit Thanks for your submission, We'll get back to you right away!

https://wonacedme.wixsite.com/mysite/capabilitystatement Capability Statement WONACE Medical provides durable medical supplies, diabetes monitors, mobility aids, CPAP machines, and special needs equipment with insurance options. Capability Statement WONACE Medical Supply https://static.wixstatic.com/media/9120b0_92da6821250f4d8a8d166bb4363a5dff%7Emv2.png WONACE Medical Supply and Equipment Store https://static.wixstatic.com/media/9120b0_4959defa0d4e48e9a1008eb5d9c5658d~mv2.png US TX Houston South Texas 6

Re-order your medical supplies easily at WONACE Medical Supply. Visit our Re-order Medical Supply Form for all your medical supply needs now!

Find the perfect wheelchair at WONACE Medical! Shop manual, power, and custom wheelchairs for mobility and rehab needs. Insurance-covered options available. Wheelchairs Scooters Upright Rollator Rollator Walker Knee Walker Filter by Category All Manual Wheelchairs ComfyGO Pride Electric Wheelchairs Power Wheelchair Pride Mobility Folding Electric Wheelchair Price $0 $7,445 Color ANGLE ADJUSTABLE FOOTPLATES (TR-A7100S) (+$175) None ANKLE POSITIONERS Hook and Loop - Side Release (PAP-100S) (+$130) Hook and Loop - Side Release (PAP-200S) (+$130) None Accessories Options Headrest BATTERY OPTIONS 1 x Additional 10AH Lithium Battery Pack Additional Battery box w/ Battery 24V 12AH None BATTERY OPTIONS (SLA OR LITHIUM Lithium-Ion Upgrade (PR-JZEVO613-LI) Standard 2-12 Volt U-1 Batteries Battery Life 25.2V Lithium-ion (up to 16.4 miles) +$200. 25.2V Lithium-ion (up to 8 miles) Up to 10 miles (Single 7.5AH Battery) Up to 19 miles (Dual 7.5AH Battery) w/40AH CALF PANEL None Soft Padded Nylon (PCP-280S) (+$85) CHOOSE SIZE 12in (TR-1200) 14in (TR-1400) 16in (TR-1600) 18in (TR-1800) Choose Coaster Size Coaster 16 inch (CTR16) Coaster 18 inch (CTR18) Cruiser 16in - CX16 Cruiser 18in - CX18 EZ Rider 16in - EZ16 (900996) EZ Rider 18in - EZ18 (900351) Rodeo 14in - RD14 (902691) Rodeo 16in - RD16 (903134) Extra Cushion 1 x Simplicity Cushion None FOOT/LEG REST ASSEMBLIES Elevating Leg Rest with 8.5″×6″ Foot Plates (pair) Elevating Leg Rests with 7.25″×6″ Foot Plates (pai Heel Loops (pair) for Elevating Leg Rests (PR-FRMA Heel Loops (pair) for Swing-Away Leg Rests (PR-FRM Residual Limb Support | Left (PR-FRMASMB5301) + $2 Residual Limb Support | Right (PR-FRMASMB5300) + $ Swing-Away Leg Rest with 7.25″×6″ Foot Plates (pai Swing-Away Leg Rest with 8.5″×6″ Foot Plates (pair HEADREST EXTENSION (TR-A1201) (+$120) Headrest Extension - Curved.Cordura (+$134) None Head Canopies Extended Headrest Cover (Canopy) (+$260) Headrest Cover (Canopy)(+$245) Headrest Headrest None Options Up to 13 mile & 17.5" Seat width Up to 13 mile & 20" Seat width Up to 19 mile & 17.5" Seat width Up to 19 mile & 20" Seat width SEAT OPTIONS 10" 12" 16"Wx16"-18"D-(PR-MEC2007667) 18"Wx18"-20"D-(PR-MEC2007668) 20"Wx18"-20"D-(PR-MEC2007669) + $50.00 SWING AWAY JOYSTICK OPTIONS Swing-Away Joystick Mount | In-line - Right (PR-KI Swing-Away Joystick Mount | In-line-Left (PR-KIT19 Seat Cushions None Stealth Simplicity Cushion 17'Wx17'D Seat Size 12" 14" 16 inch 18 inch 20 inch Size 16 in W x 16 in D x 2 in H 16 in W x 16 in D x 3 in H 18 in W x 16 in D x 2 in H 18 in W x 16 in D x 3 in H 18 in W x 18 in D x 3 in H 20 in W x 16 in D x 2 in H 20 in W x 16 in D x 3 in H 20 in W x 18 in D x 3 in H IQ-7000 IQ-8000 IQ-9000 Trunk and Pelvic Positioning Devices 3-Point Pelvic Positioning Belt(+$105) Full Torso Support Vest for 12 in. W Coasters $255 Harness Anterior Trunk Support $116 Quick View Jazzy Carbon HD Folding Wheelchair - Pride Mobility Price $4,699.00 Extra Cushion BATTERY OPTIONS Add to Cart Quick View Jazzy Carbon 27X - Pride Mobility Price $4,299.00 Extra Cushion BATTERY OPTIONS Add to Cart Quick View Aluminum Ligtweight Transport Chair w/Brake - Medline Price $245.15 Add to Cart Quick View Translator | Rollator Walker and Transport Wheelchair - Medline Price $299.95 Add to Cart Quick View New Wheelchair Scale, Portable, Digital, Folding - Detecto Price $4,160.00 Add to Cart Quick View Wallaby Pediatric Wheelchair - Drive Price $589.15 Seat Size Add to Cart Quick View AeroFly Ultra-Lite Wheelchair - Drive Price $795.99 Add to Cart Quick View Aluminum Rehab Shower Commode Chair with Four Rear-locking Casters - Drive Price $1,015.15 Add to Cart Quick View New Glide Care G-5 Lightweight Foldable Electric Wheelchair for Adults - ComfyGO Price $1,399.00 Add to Cart Quick View Aluminum Rehab Shower Commode Chair - Drive Price $1,015.15 Add to Cart Quick View Folding Wheelchair - Jazzy Ultra Light - Pride Mobility Price $4,199.00 Accessories Options Battery Life Add to Cart Quick View Tilting Aluminum Rehab Shower Chair Commode Price $1,658.45 Add to Cart Quick View Glide Care G-6 Lightweight Folding Electric Wheelchair - ComfyGo Price $1,695.95 Add to Cart Quick View New Digital Wheelchair Scale with Stationary (BT / WiFi, AC Adapter) - Detecto Price $3,930.00 Add to Cart Quick View Pediatric Viper Plus Reclining Wheelchair Price $1,450.00 Seat Size Add to Cart Quick View MAJESTIC IQ-9000 Lightweight Remote Controlled Folding Electric Wheelch Price $2,349.00 Seat Size Add to Cart Quick View Bariatric Aluminum Rehab Shower Commode Chair - Drive Price $1,056.95 Add to Cart Quick View New Digital Wall Mount Wheelchair Scale with Platform - Detecto Price $6,110.00 Add to Cart Quick View 3 Walker Rollator - Nitro Drive Price $235.99 Add to Cart Quick View New Lightweight Foldable Power Wheelchair - Vocic Price $1,199.00 Add to Cart 1 2 3 4 5 Empower Your Mobility with WONACE Medical Supply: Welcome to our comprehensive guide on the importance of mobility aids, specifically powered wheelchairs and mobility scooters provided by WONACE Medical Supply. Discover how these innovative devices can transform lives and improve daily mobility for individuals with various physical limitations. Benefits of Powered Wheelchairs: Enhanced Independence: Powered wheelchairs provide users with the freedom to move around without relying on others for assistance. Increased Mobility: These wheelchairs offer smooth and efficient movement indoors and outdoors, enabling users to navigate various terrains. Improved Quality of Life: By promoting mobility, powered wheelchairs support a more active and engaged lifestyle. Advantages of Mobility Scooters: Versatility: Mobility scooters are ideal for individuals who need assistance with longer distances or outdoor activities. Convenience: Scooters are easy to operate and maneuver, making them a popular choice for those looking for a practical mobility solution. Freedom of Movement: Mobility scooters empower users to participate in social events, run errands, and enjoy leisure activities with ease. Choosing the Right Mobility Aid from WONACE Medical Supply: When selecting a mobility aid, consider factors such as your specific mobility needs, lifestyle preferences, and the environments in which you'll be using the device. Consult with healthcare professionals to determine the most suitable option from WONACE Medical Supply for your situation. Supporting Independence with Mobility Aids from WONACE Medical Supply: By investing in a powered wheelchair or mobility scooter from WONACE Medical Supply, individuals can regain independence, maintain an active lifestyle, and participate in daily activities with confidence. These aids not only enhance mobility but also contribute to overall well-being and self-reliance. Understanding the benefits of powered wheelchairs and the advantages of mobility scooters is crucial when considering types of mobility aids. The importance of powered wheelchairs for those in need, along with the benefits of mobility scooters, cannot be overstated. Mobility aids for seniors are essential, and determining who needs a powered wheelchair or why one should choose a mobility scooter is key. Finding the best mobility aids for disabilities involves recognizing the importance of independence that comes with using such tools. Powered wheelchairs designed for mobility, along with mobility scooters tailored for outdoor use, cater to different needs. Identifying who can benefit from a powered wheelchair and why using a mobility aid is important helps individuals select the most suitable option. Exploring the features of powered wheelchairs and the benefits of mobility scooters for specific conditions like arthritis is essential. Mobility products aim to enhance quality of life, catering to those who require mobility aids. Whether it's powered wheelchairs for indoor use or mobility aids for daily living, choosing the right equipment is pivotal. Improving mobility through powered wheelchairs and reaping the benefits of mobility scooters for travel can significantly impact one's life. Supporting independence with the right mobility aids, such as powered wheelchairs for better mobility and mobility aids for physical limitations, proves instrumental. Comparing the advantages of mobility scooters over wheelchairs and selecting the best mobility aid can enhance overall well-being. Ultimately, enhancing mobility with advanced aids, such as powered wheelchairs for increased independence and mobility scooters for improved quality of life, offers a new level of freedom and accessibility

WONACE Medical Supply sells Incontinence, Breast Pumps, Mobility Aids, First Aid and wound Care, Diabetes, Respiratory, Bath chairs, Hospital Equipment, Physical therapy equipment, CPAP, scooters, wheelchairs, oxygen, Walkers, and all home healthcare aids supplies in the Houston, Katy, and Cypress areas. WONACE Medical Rental Agreement Send an email to orders@wonace.com if you have any questions. Effective Date * required Last Date * required Type of Equipment * Manual Wheelchair Oxygen Concentrator Other Oxygen Liters 5 Liter Oxygen Concentrator 10 Liter Oxygen Concentrator Enter Other First name Last name Phone Email Street Address Apt #\Street Address Line 2 City Region/State/Province Postal / Zip code Upload ID card/License Upload File Upload supported file (Max 15MB) Delivery Options * Pick Up at Facility Deliver to Patient/Caregiver (10 miles from location) Delivery & Setup Oxygen Concentrator ($125) Manual Wheelchair ($45) Deposit fees - Refunded after Delivery * 5 Liter Oxygen Concentrator ($250) 10 Liter Oxygen Concentrator ($399) Manual Wheelchair ($135) Cleaning fees * Oxygen Concentrator ($50) Manual Wheelchair ($25) Self cleaning before delivery Delivery/Shipping Address if different How did you hear about Us? Choose an option Do you need Home HealthCare Services? * Yes No Enter Other Any additional comments? DISCLAIMER This Equipment Rental Agreement, effective as of the time of the reservation ("Effective Date"), is made and entered into by and between you (hereinafter the "Borrower"), Rental Commerce Inc. (hereinafter "WONACE Medical Supply"), and the rental equipment provider (hereinafter the "Provider"). EXPRESS ASSUMPTION OF RISK The Borrower hereby agrees that he/she is renting, operating, or using the equipment provided by the Provider at his/her own risk. The Borrower agrees that he/she is voluntarily participating in all activities related to the rental, operation, or use of the rental equipment and assumes all risk of injury, illness, damage, or loss that might result, even if the risks arise out of the negligence or fault of the Provider and/or WONACE Medical Supply. WAIVER/RELEASE OF LIABILITY By the execution of this Release, the Borrower agrees that the Provider and/or WONACE Medical Supply shall not be liable for any damages arising from personal injuries sustained by the Borrower or anyone under the Borrower’s custody, care, and control, as a result of any and all activities related to the rental, operation, or use of equipment provided by the Provider or WONACE Medical Supply. The Borrower assumes full responsibility for any such injuries or damages that may occur, and further agrees that the Provider and/or WONACE Medical Supply shall not be liable for any loss or theft of personal property. The Borrower specifically agrees that the Provider and/or WONACE Medical Supply shall not be responsible for such injuries, damages, loss, or theft, EVEN IN THE EVENT OF NEGLIGENCE OR FAULT BY THE PROVIDER AND/OR WONACE MEDICAL SUPPLY, whether such negligence is present at the signing of this Release or takes place in the future. LIABILITY TO THIRD PARTIES The Borrower hereby agrees that he/she will indemnify and hold harmless the Provider and/or WONACE Medical Supply for all personal injuries, property damages, or any other damages to any and all third parties, including, but not limited to, operators of other equipment under the Borrower’s custody, care, and control, as a result of any and all activities related to the rental, operation, or use of equipment provided by the Provider and/or WONACE Medical Supply, even if such damages arise out of the negligence or fault of the Provider and/or WONACE Medical Supply. DAMAGES & LATE RETURNS WONACE Medical Supply and/or the Provider may keep the Borrower’s credit card on file to cover any late return charges, excessive equipment damages, or equipment loss. In addition, some Providers may require you to put down a refundable security deposit at the time of equipment delivery or pickup as additional security. In the event the Borrower has purchased the Equipment Protection plan available through WONACE Medical Supply, the Borrower will not be liable for the damages covered under the Protection Plan. The Borrower’s credit card shall not be charged if the equipment is not damaged, lost, or returned earlier than the agreed date by the Borrower. If the Provider charges a security deposit, they are bound to return it immediately upon return of the rental goods as per the Partner agreement WONACE Medical Supply has signed with its Providers. WONACE Medical Supply and/or the Provider will inform the Borrower of any additional charges prior to charging the Borrower’s credit card. ACKNOWLEDGMENT OF WAIVER AND RELEASE The Borrower states that he/she has had sufficient time to review this Waiver and Release agreement and to ask any questions associated with said Release. The Borrower further states that he/she has carefully read the foregoing Waiver and Release, knows the contents thereof, and has electronically agreed to this Release by reserving the item(s) via the WONACE Medical Supply website or mobile app, as his/her own free act. The Borrower warrants that he/she is aware that he/she may rent, operate, or use the equipment from another rental facility, but has chosen to rent, operate, or use equipment from the Provider and/or WONACE Medical Supply with the knowledge that signing this Release is a requirement for reservation, rental, operation, and use of said equipment. The Borrower further warrants that he/she is fully aware that he/she is waiving any right he/she may have to bring a legal action to assert a claim against the Provider and/or WONACE Medical Supply for WONACE Medical Supply’s or the Provider’s negligence or any other claim or dispute arising as a part of this rental transaction. SEVERABILITY If any provision of this Agreement shall be held to be invalid or unenforceable, such provision shall be stricken, and the remainder of the Agreement shall remain in full force and effect to accomplish the intent and purpose of the parties. The parties agree to negotiate the severed provision to bring the same within the applicable legal requirements to the extent possible. DISPUTES If a dispute, controversy, or claim arises out of or relates to this Agreement, or the breach thereof, the Borrower agrees to try in good faith to settle the dispute by contacting WONACE Medical Supply and/or the Provider directly. Suppose a dispute arising out of or relating to this Agreement or its breach cannot be resolved through negotiation or mediation. In that case, the Borrower agrees to settle the dispute by arbitration administered by the American Arbitration Association ( http://www.adr.org/fileacase ) under its Commercial Arbitration Procedures and its Consumer-Related Disputes Supplementary Procedures. Judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction. If the dispute cannot be resolved through negotiation, mediation, or arbitration, then the parties shall be free to pursue any right or remedy available to them under applicable law by a court of competent jurisdiction in the State of Texas. Clicking "Submit" authorizes WONACE or a company affiliate to contact your insurance to verify your benefits and to contact your doctor to obtain paperwork. If you are not ready to order and just want to find out if your insurance covers breast pumps, please email us at dme@wonace.org to find out. Please note that the breast pump brand and model and shipping date depend on your individual insurance plan. Your Signature Clear Submit Thanks for your submission, We'll get back to you right away!

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