Petition Form- CharmMedical

I, or someone that I care for, currently receives incontinence products from Charm Medical Supply. I oppose any reduction in reimbursement rates for providers of these products.

Name*
Address*
City*
State*
ZIP Code*
Will you be attending the public hearing at 1 pm on December 13th at 100 Hancock Street, Quincy, MA?
- No
- Yes
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