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Rental Form

Medical Equipment Rentals

We provide a range of high-quality medical equipment for your home care needs. Whether you’re recovering from surgery, managing a chronic condition, or providing care for a loved one, we have the equipment to support your journey to wellness. Available equiment for private pay rental includes:

  • Hospital Beds: $200.00 per month
  • Knee Scooters: $75.00 per month, $35.00 per week or $15.00 per day
  • Patient Lifts (Hoyer Lift): $125.00 per month, Patient Sling is purchased only at $145.00
  • Wheelchairs: $75.00 per month or $18.00 per day
  • Wheelchair Ramps:
    • 6-foot Ramp: $100.00 per month
    • 8-foot Ramp: $125.00 per month
    • 10-foot Ramp: $150.00 per month
    • 12-foot Ramp: $175.00 per month

*Some items may be covered by insurance with a valid prescription from your physician.

  • Personal Information

    * - Indicates required field

  • Rental Information

    • Dates

  • Rental Terms and Conditions:

    1. Any technical issue or malfunction of the rental equipment has to be reported to Advanced Medical Solutions by the renter or his/her representative ASAP.

    2. The renter is responsible for any damage or loss of the rental equipment and gives the right to Advanced Medical Solutions to charge the cost of repair or the whole retail price of the equipment in case of loss.

    3. The rental equipment has to be used in the proper way by the renter only. The renter will not allow the equipment to be used or played with by the others, especially children.

    4. The rental equipment has to be kept in a dry and clean place when not in use.

    5. The rental mobility products should not be used under the rain, snow or on icy or slippery surfaces.

    6. The client is responsible for any injury or damage caused by negligence, misuse, accident or abuse of the equipment.

    7. The renter hereby gives authorization to charge the on-file credit card for any due rental charge, repair cost of damaged equipment or the total cost for lost equipment.

    8. The late payment interest charge will be 2% per month.