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

Order Form



Please complete all fields on the form below.

Your order will be entered into our system for review by our customer service team.

After submitting your order please phone our office on 1300 726 666 to provide payment and ID information so that your order can be dispatched. 

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 and call on arrival.  Please adhere to all COVID protocols outlined at the premises.

    Name*

    Email*

    Phone *

    Address *

    Products *

    Vascular and Sports Recovery
    LX9Bio Compression 16-Chamber BioPantsBio Compression 8-Chamber GarmentsBio Arterial PlusDVT-2600Rebound RecoveryCryo-thermo Band

    Orthopaedic
    OsteotronLX9Cryo-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

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    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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