Do you know a hospital, nursing home or other healthcare facility that could benefit from Medcare’s zbi Injury Prevention Program and Lift/Transfer Equipment? Refer it to us, and if that facility makes a qualifying Medcare purchase, you can choose from a pizza party with PEP Talks video for nursing staff or a FREE repositioning aid!

*Qualifying purchase = $500 order of any Care Lift, Care Stand, Ceiling Lifts, Slings, Transfer Aids or mixture thereof.

Your Information:

Name

Position

Facility Name

Address 1

Address 2

City, State, Zip

Phone Number

E-mail

Referred Facility Information:

Facility Name

Contact Name

Address 1

Address 2

City, State, Zip

Phone number

E-mail