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Joe Arrington Cancer Research and Treatment Center
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Order Date
Appointment date
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Please enter the date of your upcoming scheduled treatment. If exact date is unknown please enter approximate date.
This will be treatment number
*
1
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Please enter the number of your next upcoming treatment.
Number of days for Shipping
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Do you need to order a DeltaKit?
A DeltaKit must be ordered prior to first treatment
Yes - This is my first treatment and I need to purchase a DeltaKit
No - I have already purchased my DeltaKit
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
State and Local Sales Tax
Price:
$0.00
Shipping Option
Your order qualifies for free regular ground shipping and should arrive in 1-2 days.
FEDEX 2DAY
Shipping Option
Pickup at Facility
Please pickup at your facility
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Required additional facility fees
Not Applicable
Total Cost
Notes
Notes
Order Summary
Date
Facility Name
Patient Name
Total Treatments
Date of First Scheduled Treatment
Regimen
Regimen-Other
Medical Oncologist
SKU
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Region
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Account Type
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Sales Tax
Joe Arrington Cancer Research and Treatment Center quantity
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SKU:
TX-2158
Category:
Central
Tags:
Delta
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Invoice DeltaKit
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Description
Description
Joe Arrington Cancer Research and Treatment Center
Lubbock, TX
