Medical Equipment Rental

Home.Rental Return/Replacement

Ship Rental Equipment To

Triumph Medical Services
6107 Baumgartner Crossing
St Louis, MO 63129

Please ensure that you return all accessories you received with this rental. (i.e. AC adapters, pole clamps, etc.).
Please package equipment properly as you will be responsible for damages caused by shipping.

First Name*
Last Name*
Company Name*
Email*
Phone*
Address*
Address Line 2
City*
State*
Zip*
Manufacturer & Model*
Serial Number*
Special Instructions
Are you returning equipment that has been damaged?*
- Yes
- No
Do you need a replacement?*
- Yes
- No
CAPTCHA