Rental Request Form

Text Dr. Dan 24 hours per day 407-540-0079 for help anytime!

Call us at: 407-540-0079

739 Scallop Dr. unit 11 Cape Canaveral FL 32920

by House of Health Inc.

Lift Chairs Orlando

Email *

Rental End Date *

Rental Date start *

Patient Height *

Address *

Please complete the request below and we can let you know if we can accommodate your request for a lift chair rental as well as give a price for the rental.

Name: *

Phone *

weight of user *