Village Pharmacy Ellsworth | villageellsworth-equipment-rentals

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157 E Main St, Ellsworth, WI 54011 | Phone: 715-504-3665 | Local Landline Number: 715-941-6073

Services
- Medication Adherence Medication Therapy Management Immunizations Medicare Open Enrollment Medication Synchronization DME Delivery Long Term Care Consultations Equipment Rentals Compliance Packaging Flu and Strep Testing Mail Blood Pressure Checks Pride Lift Chairs Lymphedema Products

About Us
- Meet Our Team History Reviews Mobile App Locations Contact Us

Locations

Home

Services
- Medication Adherence Medication Therapy Management Immunizations Medicare Open Enrollment Medication Synchronization DME Delivery Long Term Care Consultations Equipment Rentals Compliance Packaging Flu and Strep Testing Mail Blood Pressure Checks Pride Lift Chairs Lymphedema Products

About Us
- Meet Our Team History Reviews Mobile App Locations Contact Us

Locations

Services
- Medication Adherence Medication Therapy Management Immunizations Medicare Open Enrollment Medication Synchronization DME Delivery Long Term Care Consultations Equipment Rentals Compliance Packaging Flu and Strep Testing Mail Blood Pressure Checks Pride Lift Chairs Lymphedema Products

About Us
- Meet Our Team History Reviews Mobile App Locations Contact Us

Categories

Services
- Medication Adherence Medication Therapy Management Immunizations Medicare Open Enrollment Medication Synchronization DME Delivery Long Term Care Consultations Equipment Rentals Compliance Packaging Flu and Strep Testing Mail Blood Pressure Checks Pride Lift Chairs Lymphedema Products

About Us
- Meet Our Team History Reviews Mobile App Locations Contact Us

Your request has been successfully queued and will be available in your order history shortly. We will follow up to confirm your prescription and provide the next steps.

Equipment Rentals

If you are not in the market to purchase any DME but just need to rent some for a while we can help with that, too! See our Baldwin location for details about renting wheelchairs and knee scooters.

Baldwin Location

Equipment Rentals

Location

Rental Requested

Pickup Date

Return Date

Wheelchair Home Accessability

If you need to rent or purchase a wheelchair, we need to have a home assessment completed prior to that happening.

Location

Describe the type of enviroment in which the patient resides (ranch, apartment, assisted living). Be sure to give descriptive details

Provide details regarding floor surfaces, accessibility and maneuvering space for each of the following

Living Room Accesible?

Yes

Bedroom Accesible?

Yes

Hallways Accesible?

Yes

Kitchen Accesible?

Yes

Bathroom Accesible?

Yes

Entrance Accesible?

Yes

If an area is not accessible, how will the patient/caregiver offset the lack of access (i.e., cannot get into bathroom, but there is a bedside commode in bedroom)? Please describe in detail:

Recommendations

Patient is able to enter and exit the home safely?

Yes

Patient and/or caregiver are willing and able to use the mobility device safely and adequately to assit with MRADLs in the home?

Yes

Patient and/or caregivers were educated on care and safety with use of proposed equipment?

Yes

Village Pharmacy Ellsworth

Phone: 715-504-3665
Fax: 715-504-3666
Email: villagepharmacy@live.com
Address: 157 E Main St, Ellsworth, WI 54011
Local Landline Number: 715-941-6073

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Rental Requested

Provide details regarding floor surfaces, accessibility and maneuvering space for each of the following