My cart 0 My Wishlist 0 My Account My orders Edit Profile Change Password

DME Complaint and Grievance Form

Pro Therapy Supplies is committed to quality customer service. Please use the form below to submit your DME Complaint and Grievance Form. We look forward to resolving this issue with you.

Subject *

Do you wish to file anonymously?

Full Name *

Email Address *

Phone Number *

Address *

State *

Zip Code *

Order Number *

Insurance Type *

HICN

Is this related to infectious control?

Did a sentinel/adverse event occur?

Nature of Complaint

Submit

To install this Web App in your iPhone/iPad press and then Add to Home Screen.

Added to cart

View cart Checkout