Step 1: Download and review the Rental Agreement

RENTAL AGREEMENT CLICK FILE TO DOWNLOAD:

rental_agreement.pdf
File Size:	152 kb
File Type:	pdf

Download File

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PRESCRIPTION FORM CLICK FILE TO DOWNLOAD:

rx_2019.pdf
File Size:	148 kb
File Type:	pdf

Download File

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Step 2: Fill out your form. 
Acquire your prescription if needed from a licensed health care provider. Decide how you're going to submit the form

You can submit your Rental Agreement Form Via the following options:
If your desired rental requires prescription please attach it with the Rental Agreement: 
Fax : 772-872-6620
Email : [email protected] with subject Rental Agreement
​Docusign : (fill out the below form)

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Step 3: Once FA receives your agreement. You'll receive an invoice from First Alternatives that will contain training videos on the device you're renting in order to properly guide you. If you didn't receive these videos you can request them here as well: