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Forms
ReidSleeve
> Pre-Printed Prescription and Physician's Certificate of Medical Necessity. > ReidSleeve Measuring Chart - Arm > ReidSleeve Measuring Chart - Leg
Commercial Insurance Paperwork
> 3004 RX > 3008 RX
Medicare/Medicaid
> 2004 RX > Medicare Rules
Upper Extremity (Arm)
> Wisconsin, Tennessee, Kentucky, North Carolina, South Carolina, Illinois, Georgia, Florida \| page 2 > Indiana \| page 2 > Ohio \| page 2 > Michigan-Iowa-Pennsylvania \| page 2
Lower Extremity (leg)
> Michigan, Wisconsin, Iowa, Florida, Tennessee, Kentucky, Illinois, Georgia, North Carolina, South Carolina \| page 2 > Iowa \| page 2 > Ohio \| page 2 > Indiana \| page 2

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