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Return Authorization Request

Note: By submitting this form you are not guaranteed that that Dove Medical Supply will accept the product for return. All return requests are subject to DMS’s return policy which can be found here.
 
Account Number:   Leave blank if not available.
 
Your Name: 
 
Your Phone Number: 
 
Email Address: 
 
Product Number: 
 
Briefly describe why you would like to return the product: