Request for a rental

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Submit your information and needs using this form and we'll get back to you on equipment availability, quote and other details of your rental.

For any questions, you can always call us at (808) 676-7661 or email info@rnmreyes.com.

We also offer sales, rental and repair for:
• CPAP & BiPAP devices and masks
• Wheelchairs, cushions, walkers and crutches
• Hand and knee CPM
• Dynamic and static ROM splints
• Homecare beds and therapeutic mattresses
• Nebulizers
• Dexcom CGM
• Patient & bed alarms
• Bone growth stim
• Compression stockings
• Skin and wound care
• Commode, shower chair
• TENS Units

Which island do you require service? *

First and last name of renter *

This person is responsible party and point-of-contact for the rental.

Full address

Street, City, State and Zip Code

Email *

Phone *

Patient name *

Patient Height *

Patient Weight *

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