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Forms


Canes and Crutches
Medicare Local Coverage Determination

Commodes
Medicare Local Coverage Determination
Commode Medical Necessity Form

Hospital Beds
Medicare Local Coverage Determination
Hospital Bed CMN

Patient Lifts and Seat Lift Mechanism
Medicare Local Coverage Determination
Patient Lifts

Support Surfaces Group 1
Medicare Local Coverage Determination
CMN for Support Surfaces Group 1

Support Surfaces Group 2
Medicare Local Coverage Determination
CMN for Support Surfaces Group 2

Walkers
Medicare Local Coverage Determination

Wheelchairs, Seating, and Accessories
Manual wheelchair bases
Power mobility devices
Wheelchair Assessment Form
Wheelchair Options and Accessories
Wheelchair seating


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Downtown Location | 324 S. Union St. | Traverse City, MI 49684 | (231) 947-4212
Copyright 2009, Thompson Pharmacy. All Rights Reserved.