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(918) 600-211
2 | 6243 E. 61st Street, Tulsa, OK 74136
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Hospital Beds
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Name
*
First
Last
Phone #
*
Email Address
*
Your email address will help us better communicate with you.
Address
*
Line 1
Line 2
City
State
Zip Code
Country
*
Indicates required field
Type of Equipment
*
Lift Chair
Mobility Scooter
Power Chair / Electric Wheelchair
Hospital Bed
Manual (wheelchair, rollator, walker)
Model / More Information
*
3-Wheel Scooter
4-Wheel Scooter
Folding
Compact
Bariatric
Full Electric Bed
Semi Electric Bed
Lift Chair
3-Position Lift Chair
Infinite-Position Lift chair
Rental Period From / To (3 day minimum)
*
Enter the date range for the rental.
Height / Weight
*
Please provide your height and weight so we can find the best equipment for your frame.
Additional Notes for Rental
*
Enter any information not already specified.
Credit Card Number
*
We need a CC for security deposit on all rentals. We do NOT run the CC.
Expiration Date
*
CVV
*
SUBMIT RENTAL RESERVATION
Home
Rentals
Products
Our Products
Hospital Beds
Electric Mobility Scooters
Lift Chairs
Power Wheelchairs
Used Mobility Equipment
Services
Medical Alerts
Mobility Scooter Repair
Power Chair Repair
Lift Chair Repair
Hospital Bed Repair
White Glove Delivery
About
About Us
FYI
Showroom
Contact
Contact Us
Locations
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