When Do You Hope to Take Delivery Of Your Dolphin Mattress?
Within the next month.
Within the next 1-3 Months
More than 3 Months from Now
How Long Will You Require Your Equipment?
Less Than 6 Months
More than 6 Months
Do You Plan To Purchase Or Rent The Mattress?
We Will Purchase
We Will Rent
Do You Have Medical Insurance For this Purchase?
Do You require Assistance With Financing For This Purchase
Are you a care clinic or hospital?
Who is the mattress for?
A family member
A patient of mine
A medical practice
Please Enter Your First Name
Please Enter Your Cell Phone
Please Enter Your Email
Please click yes to book an appointment with us, otherwise we will contact you when our schedule permits
Yes – I’d Like to Book An Appointment Now
No – Please Contact Me to Discuss