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Order Forms

Doctors Choice Easy Written Order (click to download)Use this form to place orders for Respiratory Equipment, Durable Medical Equipment (i.e., Blood Pressure Machines) and Other Items.  Fax your order to (312) 666-1121 (Toll free 1-800-710-6710) or call us on (312) 666-1111.

Send message: Have questions on an item you need to order, feel free to send us a message and we'll respond as quickly as possible.

Name*

Email Address*

Telephone Number

What Would You Like to Order?

How Many?

Message*

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