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首页
手/脚 设备
腋下设备
截肢者
医生的 意见
临床 研究
如何订购
证明书
外科上的问题
© 2009
General Medical Co.
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使用你的信用卡订购 (请提供 仅限于Visa/Master信用卡的 16
个号码),
经过我们的 安全在线订购提交表单.
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(请打印) 传真： (310) 826-5778
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姓： ____________________ 名：____________________
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地址： _________________________ 房号： _____________
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城市, 省份, 邮政编码：___________________________________
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国家：
中国
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电话号码：
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电子邮件：
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全世界最低的价格！
此价格仅售于中国，香港。
请邮寄:
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手/脚设备 八十 美元 一对
附加四十美元的运费
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腋下设备八十美元 一对
附加四十美元的运费
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Master或 Visa 信用卡号码 #_____________________________
有效期限
(月/年):
___________
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签名:
_____________________
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(持卡人)
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请把银行支票或汇票和此订购表单邮寄给：
General Medical Co. Dept.
WWW-4
1935 Armacost Ave.
Los Angeles, CA
90025-5296 USA
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仅限于Master或 Visa 信用卡
(310) 820-5881
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健康计划 的偿还
（请参照原英文解释）
The Drionic device is reimbursable by many health plans. If
you wish to submit a claim to your health plan for reimbursement you will
need a prescription from your doctor, primarily a dermatologist. There are
two ways to obtain Drionic under a health plan:
1. Send payment with order for immediate purchase and file claim for later
reimbursement from your health plan.
2. Obtain preauthorization from your health plan for purchase of Drionic.
When you receive authorization from your health plan indicating that they
will cover purchase, then send us your complete
payment. You then know that you will be reimbursed by your plan.
Codes needed by insurance company:
CPT = E1399
ICD-9 = 705.21
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