MomMed RMA Request Form
Please fill out the fields on this form as accurately as possible. Per FDA regulation, we are required to ask for this information.

For Refunds, they must be requested 30 days from the date of purchase and must have been purchased from (this website) to be eligible for a refund. If you purchased from another store, retailer, or website, you will need to contact them within their designated return period to request a return for a refund.
What type of RMA are you requesting? * *
Email Address *
Contact Name *
Order Details *
Order ID: You can find this in the order history of the account the purchase was made through. E.g:20042209533388
Issue Details *
Paypal Email Address
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