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Healthcare DME · Equipment rentals

Rental agreement

Everything you need to review, authorize and sign your equipment rental—in one place.

01

Your rental

Review the equipment and rental dates.

02

Customer information

Your contact and delivery details.

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Identification & documents

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    Rental terms & payment authorization

    Please review before signing.

    Credit card payment authorization

    Credit card payment authorization (version 2026-10-12). By signing this agreement I confirm that:

    • I have read and understand the Healthcare DME Rental Equipment Terms and Conditions set out in this agreement and at healthcaredme.com/dme-rental-equipment-terms-and-conditions/.
    • I am an authorized user of the payment card provided.

    I authorize Healthcare DME, LLC to securely store this card with its payment processor (Stripe). I authorize it to charge the card, without further signature, for amounts due under the Rental Terms:

    • rent;
    • automatic weekly or monthly renewals if the equipment is not returned on or before the renewal date;
    • late returns;
    • the security deposit amount shown in this agreement, only if the equipment is not returned, is lost or stolen, or is returned damaged, not cleaned or with missing parts (the deposit is not charged at checkout or when this card is saved);
    • delivery and pickup fees;
    • cleaning, repair or replacement charges; and
    • any unpaid balance.

    Saving my card does not charge it. I will receive an emailed receipt for each charge, showing the amount, the reason and this agreement number.

    I understand that cancelled or refunded rentals are refunded less the non-refundable payment processing fee (2.9% + $0.30 for card payments) and any cancellation fee stated in the Rental Terms.

    I agree that charges made in accordance with this agreement are authorized by me. I will contact Healthcare DME at (734) 975-6668 or info@healthcaredme.com to resolve any billing question before disputing a charge with my card issuer.

    Rental Equipment Terms and Conditions (version 2026-10-12)

    Healthcare DME Rental Equipment Terms and Conditions (version 2026-10-12). The terms below govern this rental agreement.

    1. The rental agreement

    These Rental Equipment Terms and Conditions ("Rental Terms") apply to every rental of durable medical equipment ("Equipment") from Healthcare DME, LLC ("Healthcare DME", "we", "us"). They apply in addition to our Terms and Conditions.

    "Renter" or "you" means:

    • the person who places the rental order or signs the rental agreement; and
    • any patient, caregiver or facility on whose behalf the rental is made.

    You accept these Rental Terms when you place a rental order, check the acceptance box at checkout, or sign the rental agreement. Your signature may be electronic.

    A government-issued photo ID and a valid payment card are required before Equipment is released.

    2. Ownership of the Equipment

    The Equipment is and remains the property of Healthcare DME at all times. You may not sell, sublet, lend, pledge, modify or remove identification labels from the Equipment, or take it outside the United States, without our written consent.

    We may inspect the Equipment on reasonable notice. We may recover it at any time, without further notice, if:

    • rent is unpaid;
    • the Equipment is misused or put at risk; or
    • these Rental Terms are otherwise breached.

    3. Rental period, renewal and charges

    The rental period, rate and start date are shown on your order and rental agreement. Rentals are charged in advance for each weekly or monthly period, as selected.

    Automatic renewal. If the Equipment is not returned to our Ann Arbor location (or collected by us) on or before the end of the current period, the rental automatically renews for another period of the same length. You authorize us to charge the renewal to your card on file.

    No partial periods. Each period begins on the day the Equipment is delivered or picked up. Charges for a period that has started are earned in full and are not prorated or refunded if you return the Equipment early.

    Late or unpaid rent. If a renewal charge is declined, we will send you a secure payment link. Unpaid rent is a debt owed to us and may be referred for collection as permitted by law.

    4. Security deposit (card on file, not charged up front)

    Each rental shows a security deposit amount on the product page, in your order and in your rental agreement. The security deposit is not charged at checkout, and it is not held or pre-authorized on your card.

    Instead, when you sign the rental agreement, your payment card is saved securely with our payment processor, Stripe (PCI-DSS Level 1 certified). Healthcare DME never sees or stores your full card number or security code.

    You authorize Healthcare DME to charge your card on file up to the security deposit amount only if one or more of the following occurs:

    • the Equipment is not returned by the end of the rental, or within 14 days after the last paid period;
    • the Equipment, or any part or accessory, is lost or stolen;
    • the Equipment is returned damaged beyond normal wear (Section 9);
    • the Equipment is returned not cleaned and sanitized, or with missing parts (Section 10); or
    • rent or another amount due under these Rental Terms remains unpaid after a payment request.

    The amount charged is the actual cost of the item listed above, as assessed at our inspection, up to the security deposit amount. Before any deposit charge, staff record the reason and inspection notes, and photos where applicable. You receive an emailed receipt showing the amount, the reason and the agreement number, and the supporting records are available to you on request.

    If the actual cost exceeds the security deposit amount, you remain responsible for the difference. That difference is charged under Section 11 or invoiced to you.

    If the Equipment is returned on time, complete, clean and undamaged, nothing is charged and nothing needs to be refunded. Your saved card is then used only for any further rentals you authorize.

    The security deposit is not a payment of rent and cannot be applied to any rental period.

    5. Delivery, pickup and setup

    Delivery and pickup within 20 miles of our Ann Arbor location are charged at:

    • Standard Equipment: $75 for delivery and $75 for pickup.
    • Semi-electric hospital beds: $295 for delivery, setup and pickup.
    • Beyond 20 miles: an additional $3.00 per mile.
    • In-store pickup and drop-off: free.

    Someone aged 18 or older must be present at delivery and pickup. You must provide safe access to the room where the Equipment is used.

    If a scheduled delivery or pickup cannot be completed because no one is available or access is not possible, a further trip may be charged at the same rate.

    6. Inspection on receipt

    You must inspect the Equipment when you receive it. Report any damage, missing parts or defects to us immediately, and no later than 24 hours after delivery or pickup, with photos where possible.

    Equipment not reported within that time is accepted as received in good, clean and working condition.

    7. Use and care

    You agree to:

    • use the Equipment only for the patient named on the rental, as prescribed or directed and according to the manufacturer's instructions;
    • keep it clean, dry and secure;
    • not allow untrained persons to operate it; and
    • stop using it and contact us immediately if it malfunctions.

    You are responsible for supervising the patient's safe use of the Equipment.

    8. Repairs, maintenance and replacement

    No emergency or on-site service is provided for rental Equipment, even if it is defective, damaged or unusable. Equipment needing service must be brought to our patient location at 4012 Clark Road, Ann Arbor, MI 48105, Monday–Friday between 9:00 AM and 5:00 PM Eastern Time.

    Replacement Equipment is subject to stock and availability and is not guaranteed. Do not attempt repairs yourself or have anyone other than Healthcare DME service the Equipment.

    Repairs needed because of normal wear from proper use are made at no charge. Repairs caused by misuse or damage are charged under Section 9.

    9. Loss, damage and theft

    From delivery or pickup until the Equipment is returned to us, you bear all risk of loss, theft and damage to the Equipment, however caused. Normal wear from proper use is excluded.

    You agree to pay the full cost of labor, parts and materials to repair, or the current replacement value to replace, Equipment that is lost, stolen, or damaged by any of the following:

    • improper use;
    • excessive wear and tear;
    • liquid or water exposure;
    • pets, smoke or pests;
    • negligence;
    • unauthorized repair; or
    • fire, flood or other natural events.

    Theft must be reported to the police and to us within 48 hours. We may require a copy of the police report.

    10. Return of Equipment

    At the end of the rental, or sooner if we request it, you must return the Equipment complete, cleaned and sanitized, and in good working condition. Return it to our Ann Arbor location, or have it ready for a scheduled pickup.

    The rental ends when the Equipment is received and checked in by our staff. We inspect returned Equipment, and any cleaning, missing parts or damage found is charged under Sections 4 and 9.

    Equipment not returned within 14 days after the final paid period, without a renewal being paid, is treated as converted. We may then charge its full replacement value and pursue recovery as permitted by law.

    11. Card on file and payment authorization

    You authorize Healthcare DME to securely store your payment card with our processor, Stripe. You also authorize us to charge it, without further signature, for amounts due under these Rental Terms:

    • rent and automatic renewals;
    • late returns;
    • the security deposit, only in the circumstances listed in Section 4;
    • delivery and pickup fees;
    • cleaning, repair or replacement charges; and
    • unpaid balances.

    Storing your card does not charge it. We email you a receipt for each charge, showing the amount, the reason and your agreement number.

    You confirm that you are an authorized user of the card. You may update your card at any time by calling us.

    12. Cancellation and refunds

    Cancellation requests must be made by phone at (734) 975-6668 or by email at info@healthcaredme.com. A cancellation is effective only once our team confirms it in writing.

    The non-refundable payment processing fee is:

    • Card, Apple Pay and Google Pay (Stripe): 2.9% + $0.30 of the amount charged.
    • Other payment methods: as listed in Section 8 of our Terms and Conditions.

    No processing fee or cancellation fee is deducted if we cancel, cannot provide the Equipment, or the Equipment is defective on arrival.

    Refunds go to the original payment method within 3 business days of approval. Your bank may take 5–10 business days to post them.

    13. Assumption of risk, release and indemnity

    To the maximum extent permitted by law, you assume all risk arising from the use, possession and operation of the Equipment. Healthcare DME is not liable for loss of or damage to any property that is:

    • left on, stored with or transported with the Equipment; or
    • handled by you or anyone using the Equipment, before or after its return.

    You agree to defend, indemnify and hold Healthcare DME harmless from claims, losses and expenses arising from the use or misuse of the Equipment during the rental, including injury or death to persons, except to the extent caused by our gross negligence or wilful misconduct.

    14. Insurance and Medicare rentals

    If a rental is billed to insurance or Medicare, your insurer's rules and the Medicare DMEPOS Supplier Standards also apply. You remain responsible for co-payments, deductibles and any non-covered rental charges.

    A private-pay rental while coverage is being verified is your own financial responsibility unless and until your insurer pays for it.

    15. General

    These Rental Terms are governed by Michigan law. The dispute-resolution, electronic-records and chargeback provisions of our Terms and Conditions apply.

    Records of your rental, acceptance, signature, deliveries, returns, inspection photos and charges may be provided to your card issuer or payment provider if you dispute a charge.

    If any provision is unenforceable, the rest remains in effect.

    Your security deposit is not charged. Signing this agreement saves your card securely with Stripe (PCI-DSS Level 1). This step does not charge your card, and nothing is held or pre-authorized for the deposit.

    The security deposit amount shown above is charged only if the equipment is not returned, is lost or stolen, or is returned damaged, not cleaned or with missing parts, as set out in Section 4 of the rental terms. Any charge is emailed to you with the amount and the reason.

    We keep only the card brand, last four digits and a payment reference, not your full card number or CVV.

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    Sign your agreement

    Draw your signature or type your full legal name.

    Confidentiality notice

    CONFIDENTIALITY NOTICE:
    This agreement, including any attachments, is intended solely for the use of the designated recipient(s) and may contain confidential and/or protected health information (PHI). In accordance with the Health Insurance Portability and Accountability Act (HIPAA), recipients are required to maintain the confidentiality and security of this information. Any unauthorized review, use, disclosure, or distribution is strictly prohibited and may be subject to legal penalties under federal law. If you are not the intended recipient, please notify the sender immediately and destroy all copies of the original agreement.

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