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ThedaCare Regional Medical Center -Neenah -DELTA-
Each DeltaCard is valid for one treatment only.
Additional DeltaCards can be purchased now or prior to each treatment.
Unused DeltaCards may be returned for a refund. Review
full refund policy here.
Order Date
MM slash DD slash YYYY
Appointment date
*
Please enter the date of your upcoming scheduled treatment. If exact date is unknown please enter approximate date.
MM slash DD slash YYYY
This will be treatment number
*
1
2
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4
5
6
7
8
9
10
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13
14
15
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19
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Please enter the number of your next upcoming treatment.
Number of days for Shipping
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.
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State and Local Sales Tax
Not Applicable
DeltaKit Shipping
Your order qualifies for free regular ground shipping and should arrive in 4-5 days. If you need faster shipping, select a shipping option below.
Regular Ground
2 Day
Next Day
DeltaKit Expedited 2 Day Shipping
Your scheduled treatment date requires 2 day shipping.
2 Day +40
Next Day +60
DeltaKit Expedited Next Day Shipping
Your scheduled treatment date requires next day shipping.
Next Day +60
Pickup at Facility
Pickup at Facility
Please pickup at your facility
DeltaCard Treatment Cards
Quantity
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$300.00
Quantity
Required additional facility fees
Not applicable
DeltaCard Shipping
Your order qualifies for free regular ground shipping and should arrive in 4-5 days. If you need faster shipping, select a shipping option below.
Regular Ground
2 Day +20
Next Day +40
DeltaCard Expedited 2 Day Shipping
Your scheduled treatment date requires 2 day shipping.
2 Day +40
Next Day +60
DeltaCard Expedited Next Day Shipping
Your scheduled treatment date requires next day shipping.
Next Day +40
Pickup at Facility
Pickup at Facility
Please pickup at your facility
Total Cost
$0.00
Notes
Notes
Patient Name
Total Treatments
Regimen
Regimen-Other
ThedaCare Regional Medical Center -Neenah -DELTA- quantity
Proceed to Checkout
SKU:
WI-3043
Category:
Central
Tags:
Delta
,
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Description
Description
ThedaCare Regional Medical Center, Neenah
130 Second Street, Suite 300, Neenah, WI 54956
max 8