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If you have Medicare, Medicaid or Private insurance please fill this form here to see if you qualify. Please send the form or fax it to the address below


Emerald Medical Services
4211 9th Street NW
Suite #1
Washington DC, 20011

Phone: 1-800-220-5911
Fax: 1-888-722-8819

1910 Byrd Ave, #203
Richmond, VA 23230.
Phone: 1-888-762-3946

email: support@emeraldmedicalservice.com

Alternatively you use the following form below to sign up electronically:
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Type of equipment/ supply interested in (required) :
Physicians name (optional) :
Physicians phone number (optional) :
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Crutch - Quick Change - Adult
Crutch - Quick Change - Adult
$45.10 now $27.99
Digital Auto BP Monitor with Cuff
Digital Auto BP Monitor with Cuff
$65.99 now $59.99
Deluxe diamond shape grab bar, 18
Deluxe diamond shape grab bar, 18
$16.50 now $14.50
Digital Auto wrist BP Monitor
Digital Auto wrist BP Monitor
$76.99 now $69.99

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