Call Us: 1300 726 666 - Mail: info@medirent.com.au

Order Form

Medi-Rent / Order Form



PLEASE NOTE: WE ARE CURRENTLY EXPERIENCING ISSUES WITH OUR ORDER FORM.
PLEASE PLACE YOUR ODER BY CALLING 1300 726 666 TO AVOID ISSUES.
We apologise for any inconvenience caused.

 

Your order is not guaranteed until payment has been made and your rental contract signed. 

If you are picking up equipment from the Sydney office in person please make an appointment on 1300 726 666.  Please adhere to all COVID protocols outlined at the premises.

    Name*

    Email*

    Phone *

    Address *

    Products *

    Vascular

    LX9-LF900Bio Compression 16-Chamber BioPantsBio Compression 8-Chamber GarmentsBio Arterial PlusDVT-2600Cryo-thermo Band

    Orthopaedic

    OsteotronLX9-LF900Cryo-Thermo BandCTC-7 Cold-heat-compressionCPM - ShoulderCPM - ElbowCPM - KneeCPM - Ankle

    Date required

    Delivery or pick-up from our warehouse (Delivery may incur an additional fee)

    DeliveryPick-up

    Physician / Therapist name if applicable

    Any extra information


    Medi-Rent Pty Ltd


    Unit 3, 61 Beauchamp Rd
    MATRAVILLE NSW 2036

    NATION-WIDE DELIVERY

    P: 1300 726 666
    I: 02 9700 1744
    F: 02 9316 9998

    info@medirent.com.au
    www.medirent.com.au


    Business Hours


    Weekdays: 9am to 5pm

    After-hours


    For after-hours emergencies with your equipment please call 1300 726 666 and leave a message. We will call you back as soon as possible.


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