RFR Cover Page DME Reuse FY20.docx

ATTACHMENT 1

COVER PAGE / RFR RESPONSE SHEET

Durable Medical Equipment Reuse Partner

RFR MRC DME 9-2020

Type or Print

Organization Name:

Address:

City/State/Zip:

Telephone:

Federal Tax ID #:

DUNS #:

Primary Contact Person:

Primary Contact Person Job Title:

Primary Contact Phone:

Primary Contact E-mail:

Organization CEO/President Name:

Organization CEO/President E-mail:

Organization CEO/President Phone:

Organization CFO/Business Manager Name:

Organization CFO/Business Manager E-mail:

Organization CFO/Business Manager Phone:

ATTACHMENT 2

MRC DME Reuse – approved items for donation

8/1/2019

MRC’s Durable Medical Equipment (DME) Reuse Program accepts the following categories of equipment for refurbishment and reassignment.

DME Categories accepted by the Reuse program:

· Adapted Strollers

· Bath Benches

· Shower Chairs

· Tub seats

· Bed accessories such as railings

· Gait trainers

· Standers

· Sling Lifts (mechanical or electric)

· Portable ramps

· Rollator walkers

· Scooters

· Knee Scooters

· Wheelchair Accessories

· Wheelchairs (Power & Manual)

DME Categories NOT accepted by the DME Reuse Program:

· Assistive technology: AAC devices, adapted computers, vision and voice aids

· Commodes

· Crutches and canes

· Grab bars

· Hospital Beds

· Medical supplies

· Respiratory devices such as CPAP, bipap, nebulizers