Rental Request Form

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Rental Information

Call or email to verify that you are in our rental region of Northern New Jersey


Jerry's Drug & Surgical Supply offers the following products for rent. First month's payment on on all rental equipment can be applied toward your purchase of that product. For information on rates and needs, please fill out the form below and someone from our rental department will contact you shortly. Thank you.

Rental-Purchase Rentals Purchase
Monthly Price
Seat Lift Chair - Capri Model $99 $595
Rollator $30 $109
Walker, folding $30 $89
Walker with Wheels $30 $99
Quad Cane $10 $45
Crutches (1 pair) $10 $40
Home, Bed Rails $50 $149
Geri Chair $98 $699
Hospital Bed - semi electric $89 $1,195
Hospital Bed - fully electric $99 $1,395
Over Bed Table $20 $99
Over Bed Trapeze + floor attachment $65 $385
Commode $30 $98
6ft Wheelchair Ramp - Trifold N/A $395
8ft Wheelchair Ramp - Trifold $115 $650
10ft Wheelchair Ramp - Trifold N/A $895
T.E.N.S. Unit - Medical Grade $35 $99
Medela Breastpump (Symphony Only) $75 N/A


Additional Equipment
Daily Weekly Monthly Purchase
Continuous Passive Motion (C.P.M.) Knee $20 N/A N/A N/A
Transport Wheelchair $10 $25 $50 $199
Manual Wheelchair $10 $25 $50 $250
Power Wheelchair N/A $95 $250 $1,399
Scooters - Buzzlite N/A $75 $195 $895


Stairglide
Stairglide (or lift)
*6 month minimum
Please call for details (201) 339-1992
Stairglide Rental
  • Indoor Only
  • 6 month minimum (non-refundable)
  • Straight Track
  • Installation: $300
  • Monthly Rental: $125/Month (minimum 6 months)
  • Pay rental $125 for 24 additional months - you own the stairglide
  • 6 month minimum goes toward purchase price.


Rental Request Form

Contact Information
Rental Information

Catheter Contact Form

Hours
Mon9:00 a.m.9:00 p.m.
Tue9:00 a.m.9:00 p.m.
Wed9:00 a.m.6:00 p.m.
Thu9:00 a.m.9:00 p.m.
Fri9:00 a.m.9:00 p.m.
Sat9:00 a.m.6:00 p.m.
Sun10:00 a.m.2:00 p.m.
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