Mayo Clinic Mastectomy Store Catalog - MC1234-74

MASTECTOMY
AND WIGS
2016-2017 Medical Supplies Catalog
MAYO CLINIC STORE
Hope and Healing
Table of Contents
Recovery Care. . . . . . . . . . . . . . . . . . . . . . . . . . 4
Breast Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Intimate Apparel. . . . . . . . . . . . . . . . . . . . . . . 12
Head Scarves and Wigs. . . . . . . . . . . . . . . . . 22
Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Ordering Information. . . . . . . . . . . . . . . . . . . . 30
Order Form . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
offered for the benefit
and convenience of
Mayo Clinic patients
everywhere
The Mayo Clinic Store Catalog features a
variety of supplies for use. This catalog is a
continuation of the service provided in the
Mayo Clinic Stores and represents some of
the products our physicians find most useful.
Products were carefully chosen for reliability
and value. As a not-for-profit organization,
proceeds from products purchased in our
catalog support medical education and
research at Mayo Clinic. This important work
helps enhance the lives and well-being of
people all around the world. Established in
the late 1800s by Minnesota doctors William
and Charles Mayo, Mayo Clinic is now one
of the world’s largest group practices staffed
with more than 2,000 physicians dedicated
to continuing the Mayo heritage of medical
excellence and to providing caring, individual
attention to each patient.
PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE.
PRODUCTS AND SERVICES NOT AVAILABLE AT ALL LOCATIONS.
2
Recovery Care
4
Recovery Care
We offer a full line of recovery care products
made by Amoena.
In the days following surgery, softness and
comfort are paramount. We offer several
recovery care garments to meet women’s
needs during this time.
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
With drain management
Sizes XS (2/4); S (6/8); M (10/12); L (14/16);
XL (18/20); 2X (22/24); 3x (26/28); 4X (30)
Colors
White
Nude
Black
Package
1 per bag
Accessories Includes two #2106 fiberfill leisure forms and
two #2107 removable drain pouches for use with
Jackson-Pratt®, Hemovac® and other drain
management systems.
Material
88% cotton/12% Lycra® Spandex
Exclusive of elastic and/or decoration
Features
Stretch neckline for easy step-in entry. Soft cotton
and Lycra® fabric offers a snug but nonrestrictive
fit. Smooth interior side seams for comfort to
sensitive skin.
Price$58.95
Recovery Care
2105 Amoena Michelle
2860 Amoena Hannah
Zip front closure garment with drain management
Sizes XS (2/4); S (6/8); M (10/12); L (14/16);
XL (18/20); 2X (22/24); 3X (26/28); 4X (30)
Cup Sizes
A/B; C/D
Color
White
Package
1 per bag
Accessories Includes two #2106 fiberfill leisure forms and
two #2107 removable drain pouches for use with
Jackson-Pratt®, Hemovac® and other drain
management systems.
Material
89% cotton, 11% Lycra® Spandex
Exclusive of elastic and/or decoration
Features
Soft cotton and Lycra® fabric offers a snug but
nonrestrictive fit and is infused with vitamin E and
aloe microcapsules* that continually release
moisturizing and soothing benefits to the skin.
Smooth interior side seams for comfort to sensitive
skin. Front zipper closure and padded, stretchable
fabric straps that fasten in front make access
during treatment easier.
Price$69.45
*Though they diminish with use, Vitamin E and aloe microcapsules may deliver natural benefits for up to 35 launderings.
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
5
Recovery Care
519 ABC Compression Bra
Sizes 32-46 (AA/A, B/C, D/E)
Color
Beige
Black
Package
1 per bag
Material
Cotton, nylon, elastane
Exclusive of elastic and/or decoration
Features
The soft cotton stretch material is very skin friendly
and allows for maximum comfort. Seamless,
molded cups provide compression, shape and fit.
There are sewn-in side panels and a wide under
bust band. Adjustable extra thin Velcro straps do
not bulge underneath clothing. The specially
designed pockets will hold breast forms and shapers.
Price$88.45
2863 Amoena Patricia
Front closure compression garment
Sizes 32-46 (B/C, D/DD); 48-52 (B/C)
Color
White
Package
1 per bag
Material
92% nylon, 8% spandex
Exclusive of elastic and/or decoration
Features
Light compression vest features a brushed, plushfeeling fabric that wicks moisture away from the
body and dissipates body heat. Zip-front closure
allows for ease in dressing and locks firmly in
place. Soft pockets for comfort and security.
(Packaged with one #2106 fiberfill post-surgical
form.) Velcro cushion straps allow ease in dressing
and/or accessing the port.
Price$98.95
*Though they diminish with use, vitamin E and aloe microcapsules may deliver natural benefits for up to 35 launderings.
6
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Sizes Cup sizes
Colors
Material
XS, S, M, L, XL, XXL
A/B; C/D; E/F
White
Beige
Pink
Gray
Black
Back: 93% cotton, 7% Spandex
Pockets: 95% cotton, 5% Spandex
Cups: 85% nylon, 15% Spandex
Features
Exclusive of elastic and/or decoration
Recovery Care
110 ABC Leisure Bra
Made with breathable cotton. This soft, stretchy
leisure bra offers coverage and support without
causing irritation. Front closure makes this bra
easy to wear after surgery.
Price$39.95
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
7
Breast Forms
8
Breast Forms
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Innovative features for maximum comfort
Sizes 1-14
Color
Ivory
BenefitsThe new Natura Cosmetic breast form introduces
a new class of light breast forms that bring you
life-like softness, inside and out. The form is
undetectable even in the sheerest bra styles. With a
silhouette that’s as natural as it was before surgery,
you’ll feel comfortable and confident.
Price$325.45
Breast Forms
320 Amoena Natura Cosmetic
10271 ABC Air Triangle
Feels like a part of you
Sizes 1-12
Colors
Blush
BenefitsMade of Air silicone, this breast form is 40% lighter
than standard silicone and reduces the amount
of weight to the wearer’s chest wall. This unique
blend of silicone creates a perfect balance between
lightness of weight and softness of a full silicone
breast form. Air silicone is the lightest silicone
full breast form available. This breast form works
exceptionally well for bilateral mastectomies.
Price$325.45
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
9
Breast Forms
ABC Massage Shapers
Sizes1-12
Color
Beige
Features
The American Breast Care partial breast form shapers help provide symmetry for women who have had lumpectomies, reconstruction or those
who just need a little balancing in the bra cups. Every ABC breast form
comes packaged in a travel case and storage box.
Price$262.45
929 ABC Microbead
Sizes1-12
Color
Beige
Features
This weighted form is made of memory foam that contours to the shape of
your chest wall. It is weighted with non-metal materials and designed as a
seamless, molded cup.
Price$99.95
930/931 ABC Swimform
10
Sizes Colors
Benefits
930 2-10 blush (oval shape)
931 1-12 clear (triangle shape)
Blush
The American Breast Form Standard Silicone Oval Swimform fits in all
types of swimsuits and flatters all figures. The single layer of firm silicone
retains its shape, even in the water. The standard weight silicone
duplicates the look, feel and movement of a natural breast. Its density
provides an anatomically correct weight that provides balance and creates
a natural, comfortable fit. The ABC Swimform comes with a drawstring
pouch to transport and store your form.
Price
$167.95 (oval shape)
$167.95 (triangle shape)
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Adjustable enhancer
Sizes Colors
Benefits
4 (XS), 6 (S), 8 (M), 10 (L), 12 (XL)
Ivory
Designed specifically for a woman’s needs after reconstruction and during
the tissue expansion process by adapting to her changing shape. Made up
of three parts that work together to bring a woman desired symmetry and
volume until the tissue expansion process is complete. Ultra lightweight to
reduce pressure on sensitive breast tissue. Provides a hygienic environment; cover can be hand washed separately. Silicone shell can be worn
separately.
Breast Forms
333 Amoena PurFit
Price$279.95
Style #333
Amoena Balance Shapers
Restores shape and symmetry
Sizes Colors
Benefits
Price
0/1, 2/3, 4/5, 6/7, 8/9, 9/10
Ivory
Naturally soft silicone hugs the breast. Fills the bra cup perfectly. Finely
tapered edges ensure a smooth and invisible fit to the body. Easy
adjustment and handling.
$262.45
149 Amoena Swim Triangle
Restores shape and symmetry
Sizes Benefits
Price
1-14
The Amoena Aqua Wave Swimform has a transparent silicone and clear
covering allowing the natural skin color to show through any less-thanopaque swimwear fabric, without revealing the form itself. This form
fits comfortably into the pocket of Amoena swimwear, and is unaffected
by salt water, chlorinated water or the heat of a sauna. Each Swimform
is packaged with a waterproof drawstring bag that is concealing and
fashionable at the same time! Drawstring bag is also large enough to fit
your swimsuit in the same bag.
$167.95
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
11
Intimate Apparel
12
Intimate Apparel
We offer a full line of intimate apparel by Amoena, Anita and ABC.
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Soft cup
Sizes 34-40 A; 34-44 B, C; 34-42 D; 36-38 DD
FitAverage
Colors
Candlelight
Black
Features
Higher neckline for optimal coverage and higher side panels for support;
wide straps for comfort and security.
Material
Back and cups: 95% cotton, 5% Spandex
Pockets: 100% cotton
Lace: 82% nylon, 18% Spandex
Intimate Apparel
503 ABC Embrace
Exclusive of elastic and/or decoration
Price$54.95
123 ABC Front Closure
Rose Contour
Sizes 34-42 A; 34-44 B; 34-46 C, D; 36-46 DD
FitAverage/full
Colors
White
Beige
Black
Features
Front and back closures that can be adjusted for an ideal fit.
Material
Back: 85% nylon, 15% Spandex
Pocket: 95% cotton, 5% Spandex
Cup: 100% polyester
Exclusive of elastic and/or decoration
Price$44.95
everyday
502 ABC Adore
Seamless molded cup
Sizes
32-38 AA; 34-38 A; 34-42 B, C; 34-38 D; 36-38 DD
FitAverage
Colors
Skin/Ivory
Black/Champagne
Features
Seamless molded bra offers support, shape and style. Features an
embroidered lace that spans the width of the band. Straps can be
converted to achieve a halter or criss-cross look.
Material
Back: 100% nylon; Pockets: 100% cotton
Cups: 84% polyester, 16% Spandex
Lace: 100% polyamide
Exclusive of elastic and/or decoration
Price
$59.45 Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
13
Intimate Apparel
509 ABC Royal Lace
Three-section full cup
Sizes 38-42 A; 34-46 B; 34-46 C, D; 34-46 E
FitAverage/full
Colors
Beige
Features
Superb support for larger sizes. Padded straps; embroidered floral design.
Material
Back: 87% nylon, 13% Spandex
Pockets: 100% cotton
Cups: 100% nylon; Lace: 100% polyester
Price$55.95
525 ABC Massage Bra
Seamless molded cups
Sizes 34-44 AA; 34-44 A; 34-44 B; 34-40 C
FitAverage
Colors White
Beige
Black
Features
Creatively designed with a unique massage fabric that gently massages
the body. Offers a supportive, elastic band for extra security. Lightly padded
straps add to comfort.
Material
Back and cups: 88% nylon, 12% Lycra®
Pocket: 85% nylon, 15% elastane
Price$64.95
515 ABC T-Shirt Bra
Soft molded cups
Sizes 34-44 AA, A, B; 34-40 C; 36-40 D; 38-40 E
FitAverage
Colors
White
Beige
Black
Features
Seamless, molded cups. Creates a sleek look and feel. Straps come lightly
padded for added comfort.
Material
Back and cups: 88% polyamide, 12% Lycra®
Wing Lining: 85% nylon, 15% elastane
Price$53.45
14
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Lace accent softcup
Sizes 34-44 A, B; 34-46 C, D; 36-46 DD/E; 40-42 DDD/F
FitAverage
Colors
White
Champagne Black
Features
Beautiful floral lace pattern, soft cup, ample support.
Material
Back: 97.5% nylon, 2.5% Lycra®
Pockets: 95% cotton, 5% Spandex
Cups: 30% nylon, 20% cotton, 50% rayon
Price$53.95
Intimate Apparel
504 ABC Dream Lace
510 ABC Cotton Comfort Bra
Seamless molded cup
Sizes 38-46 A; 36-46 B; 36-44 C, D
FitShallow/average
Colors
White
Features
Seamless molded cups and embroidered accents on each strap that
remain undetectable under clothing. Ideal bra to wear under fitted tops.
Material
Back: 88% nylon, 12% Spandex
Cups: 90% polyester, 10% Spandex
Price$52.45
505 ABC Soft Shape Bra
Sizes 34-44 AA; 34-44 A; 34-44 B; 34-40 C
FitAverage
Colors
White
Beige
Champagne
Black
Features
Soft cup bra; moisture-wicking fabric.
MaterialBack/Cups: 88% polyamide, 12% lycra
Wing lining: 85% nylon, 15% elastane
Price$53.95
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
15
Intimate Apparel
133 ABC Rose Contour T-Back
Sizes 34-42 A; 34-44 B; 34-46 C; 34-46 D
Colors
Beige
FeaturesFront closure and t-back design.
MaterialCups: 100% polyester
Back: 85% nylon, 15% Spandex
Pockets: 95% cotton, 5% Spandex
Price$48.45
103 ABC Rose Contour Bra
Sizes 34-38 AA; 32-42 A; 32-44 B; 32-46 C; 34-46 D; 36-46 DD
FitAverage
Styles/Colors
White
Beige
Cocoa
Black
MaterialBack: 85% nylon, 15% Spandex
Pockets: 95% cotton, 5% Spandex
Cup: 100% polyester
Price$44.95
16
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Soft cup
Features
CoolMax
fabric
Intimate Apparel
2004 Amoena Rita
Sizes 34-44 A, B, C; 34-46 D; 36-46 DD
FitAverage/full
Colors
White
Nude
Black
Features
CoolMax* pockets; adjustable, elastic straps. Material
Cups and band: 100% polyester
Back: 85% nylon, 15% Spandex
Pockets: 100% CoolMax Polyester
Exclusive of elastic and/or decoration
Price$35.95
*CoolMax is a permanent process that does not wash out. Manufacturer recommends not using fabric softeners.
Amoena Dianna
Soft cup
Sizes 32-44 AA, A, B, C, D
FitAverage
Colors
White #44112
Silver #43987
Features
Cotton pockets; adjustable elastic straps.
Material
Body: 78% nylon, 22% Spandex
Pockets: Microsense Microfiber
Features: Seamless
Exclusive of elastic and/or decoration
Price$61.95
1152 Amoena Power
Soft cup sports bra
Sizes 32-42 AA, A, B, C, D, DD
FitAverage/Full
Colors
Black/Gray
Features
CoolMax* Pocket and molded cups.
Material
49% polyester, 35% nylon, 16% Spandex
Price$47.45
*CoolMax is a permanent process that does not wash out. Manufacturer recommends not using fabric softeners.
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
17
Intimate Apparel
Amoena Lara
Molded cup
Sizes 34-40 AA; 32-40 A, B, C; 34-40D
FitAverage
Colors
Off White #2752
Nude #2674
Black #2675
Features
2 way seamless stretch and microfiber molded cups.
Material
83% nylon, 17% Spandex
Price
$54.45 Amoena Mona
Seamless soft cup
Sizes 32-42 AA, A, B; 34-40 C, D; 34-38 DD
FitAverage
Colors
White
Champagne
Cognac
Black
Features
Seamless cups; microfiber pockets; padded, adjustable, elastic straps.
Material
Body and pockets: 80% nylon, 20% Spandex microfiber
Exclusive of elastic and/or decoration
Price$69.45
Amoena Rebecca
Cut and sewn supportive soft cup
Sizes 36-48 A; 34-48 B, C, D; 36-46 DD; 38-46 DDD
FitAverage/full
Colors
White #2806
Black #2969
Features
Mesh pockets and tapered straps for added comfort.
Material
72% nylon, 22% Spandex, 6% cotton
Exclusive of elastic and/or decoration
Price$68.45
18
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Support bra for fuller figures
Sizes 34-50 A; 32-48 B, C, D; 32-44 DD, DDD, G
FitAverage/full
Colors
White #2947
Nude #2948
Features
Supportive three-part cup construction provides excellent support.
Material
57% polyester, 18% Spandex, 15% cotton, 10% nylon
Intimate Apparel
Amoena Isadora SB
Price$47.45
2700 Amoena Carmen
Cut and sewn soft cup
Sizes 36-48 A; 34-48 B, C, D; 36-46 DD; 38-46 DDD
FitFull
Colors
White
FeaturesAll-day comfort; fabulous fit and luscious lace; mesh pockets;
padded, tapered straps for added comfort.
Material
61% nylon, 21% Spandex, 12% cotton, 7% rayon
Price$68.45
Amoena Dana
Camisole soft cup
Sizes 32-40 AA; 32-44 A, B, C; 34-42D, DD
FitAverage
Colors
White #2862
Black #2750
Features
Micro polyester pockets; adjustable elastic straps.
Material
Lace: 87% nylon, 13% Spandex
Body: 83% nylon, 17% Spandex
Pockets: 82% polyester, 18% Spandex
Exclusive of elastic and/or decoration
Price$53.45
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
19
Intimate Apparel
Amoena Lara Comfort 3D
Innovative soft cup with 3D channel wire casing
Sizes 32-44 A, B, C, D, DD
FitAverage
Colors
Nude #2437
Black #2436
Features
Microfiber pockets; lightly padded molded cups; 3D channel wire casing
that supoorts like a wire.
Material
85% nylon, 15% Spandex
Price$68.95
1150 Amoena Mara
Soft cup
Sizes 34-42 AA, A, B, C, D
FitFull
Colors
Light Nude
Features
Molded foam cups are seamless and smoooth under clothing.
Material
39% polyester, 31% nylon, 23% Coolmax, 7% Spandex
Exclusive of elastic and/or decoration
Price$40.95
Amoena Valletta Camisole
With shelf bra
Sizes Colors
Features
8-24
White #70230
Black #70229
Camisole made from soft Modal fabric; round neckline in front and back;
double spaghetti straps, adjustable in back; supportive shelf bra with
bilateral pockets; super soft cups; exclusive rhinestone application in
middle upper back.
92% Modal, 8% Spandex
Material
Exclusive of elastic and/or decoration. Not billable to insurance.
Price$45.95
20
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Sizes 34-42 AA, A, B, C, D
Colors
White
Praline
Anthrocite
Features
Adjustable straps, comfort straps, bilateral pockets.
Material
75% nylon, 25% elastane
Price$59.95
Intimate Apparel
5726 Anita Lisa
5349 Anita Safina
Sizes 34-50 A, B, C, D; 34-44 E, F
Styles/Colors
White
Crystal #612
Skin #007
Black #001
Features
Adjustable straps, relief straps, special supporting effect bilateral pockets.
Material
50% nylon, 30% polyester, 10% elastane, 5% cotton, 5% viscose
Price$53.45
5300 Anita Vivana
Sizes 32-42 A, B, C, D, E
Colors
Skin #722
Black #001
Features
Adjustable straps, comfort straps, seamless cups, bilateral pockets.
Material
80% nylon, 20% elastane
Price$60.45
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
21
Head Scarves and Wigs
22
Head Scarves
and Wigs
We offer a full line of fashionable wigs
scarves, and caps for women going
though chemotherapy treatment and
other types of hair loss.
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Jon Renau Boho Beanie
$27.95
Chemo Beanie Christine
$27.45
Hats For You Flapper
$20.45
Parkhurst Kerchief
$26.45
Lana Sleep Cap
$20.95
Hats for you
Calypso with Long Tail
$31.45
Chemo Beanie Joy
$27.45
Chemo Beanie Angelle
$27.45
Head Scarves and Wigs
Jon Renau Elegant Softie
$27.95
Colors/patterns subject to availability.
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
23
Head Scarves and Wigs
Natalie
Get pixie spunk with the ultra flattering facial framing of a modern bob. This short, straight
style looks great on everyone and features easy-to-wear O’solite construction.
Sizes
#5374 Average
#5349 Petite
Cap Construction Open Cap
Hair Type
Synthetic
Price$125.95
Angelique
The straight, long layered tresses and soft bangs of this wig will impress everyone!
Plus, O’solite construction will always look and feel perfect
Sizes
Cap Construction
Hair Type
#5870 Average
#5153 Large
Open Cap
Synthetic
Price $150.45
Kate
Wavy, straight or come-hither curled, this long layered, pre-permed Remy human hair wig
epitomizes feminine style with the added security and versatility of a lace front.
Sizes
Cap Construction
Hair Type
Price 24
#706 Average
Lace Front, Monofilament, Hand Tied
Remy Human Hair
$1547.95
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
With a chic, long layered silhouette and undetectable lace front, this Remy human hair wig
can be heat styled with siren curls or straight-laced class
Sizes
Cap Construction
Hair Type
#704 Average
Lace Front, Monofilament, HandTied
Remy Human Hair
Price$1496.95
Head Scarves and Wigs
Jennifer
Simplicity
From messily boycut to smooth and elegant, craft your own look with this short pixie wig.
Its endless versatility comes from Mono Top construction.
Sizes
Cap Construction
Hair Type
#5131 Average
Monofilament
Synthetic
Price$284.95
Positano
This polished and picturesque chin-length bob refines the glamour of simplicity.
Clean lines create a look of exquisite poise, sophistication and aplomb.
Sizes
#5840 Petite/Average
Cap Construction Lace Front / Monofilament / Handtied
Hair Type
European Human Hair
Price$2479.95
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
25
Head Scarves and Wigs
Mono-Jazz
If cute, short and spunky is your style, this is your wig! Its Mono Top construction
ensures a totally natural and carefree look.
Sizes
Cap Construction Hair Type
#5376 Average
Monofilament
Synthetic
Price$196.95
Lily
This wig has the romantic beauty of short, wavy layers with the easy wearability
of O’solite construction, a perfect pairing of comfort and carefree style.
Sizes
Cap Construction
Hair Type
#5358 Petite
#5360 Average
Open Cap
Synthetic
Price $130.45
Gaby
This short layered wig gives you instant style. The length at the nape is ultra feminine,
while the O’solite construction is practically weightless.
26
Sizes
Cap Construction
Hair Type
#5348 Average
Open Cap
Synthetic
Price $132.95
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Fresh and feisty from morning to night, this piecey modern bob makes complete styling
versatility a reality with a lace front and monofilament crown
Sizes
Cap Construction
Hair Type
#5955 Average
Lace Front / Monofilament
Synthetic
Price$332.95
Head Scarves and Wigs
Brooklyn
Hillary
Hillary by is a classic short cut that includes long delicate layers on top and sides along
with our exclusive SmartLace technology which offers the most natural hairline available.
No tape or glue needed!
Sizes
Cap Construction
Hair Type
#5874 Average
Lace Front / Open Cap
Synthetic
Price $173.95
Allure
The genteel glow of this refined pixie will be envied by all your friends.
Mono Top construction gives this wig a supremely natural look
Sizes
Cap Construction
Hair Type
#5370 Mono cap Average
#5357 Petite
#5350 Average
#5366 Large
Traditional, and Mono
Synthetic
Price $291.45 mono
$132.45 traditional
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
27
Accessories
Amoena Shoulder Cushions
Style#050
ColorClear
Package
Sold in pairs
Features
Clear silicone cushions slide under the bra straps for easier wear, more comfort and reduced movement. Strap cushions help prevent channeling and keep straps from slipping.
Price$13.95
ABC Triangle Breast Form Cover
Style#400
Sizes0-18
Color
Beige and tawny
Features
Made of a revolutionary fabric that reduces thermal stress and pulls
moisture away from your body.
Price$15.95
Amoena Adhesive Nipples
Style
Tawny #139
Bronze #138
Almond (shown) #137
Ivory #136
Size S (1 3/8" diameter)
M (1 9/16" diameter)
L (2" diameter)
Package
2 per case
Features
Includes one 30 mL bottle Amoena Soft Cleanser.
Price$42.95
28
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Style
Package
Features
#172 for Contact 2S #381 and Contact Light 2S #380
#171 for Contact 3E #521
#170 for Contact 2A #351
#168 for Contact 3S #382 and Contact Light 3S #368
#167 for Contact 1S #653
#145 for Balance Contact 2D #272B
1 Back Pad, 2 Foils per bag
Back Pad allows breast form to be worn traditionally in a pocketed bra.
Accessories
Amoena Back Pad and Foils
Price$8.45
Amoena Soft Brush & Cleanser
Styles
Features
Cleanser #087
Brush #089
For use in daily cleaning of Amoena Breast Forms, specifically the Amoena Contact Breast Form.
Price$6.45
Amoena Skin Prep Wipes
Style#080
Features
Amoena Skin Preparation Wipes ensure gentle and thorough cleansing
of the skin. They remove dead skin cells and should always be used before
wearing the Amoena Contact breast forms or partials for the best adhe
sion. The new formulation is very mild to sensitive skin and free of preser
vatives, dyes and perfumes
Price$12.95
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
29
Ordering Information
Order Processing
Medicare Claim Filing Policy
All orders are processed when payment is received. Therefore, if you
are paying by check your order may be delayed for up to one week.
Items are shipped immediately if participating insurance coverage is
available and required documentation is complete.
Mayo Clinic Store will file a Medicare B claim form on your behalf.
However, YOU AND YOUR PHYSICIAN MUST provide us with the
following information:
Back Orders
Our fill rates are among the highest in the industry. It is our policy to
pay freight on back orders.
Returns & Exchanges
We will accept returns on most products purchased within 30 days
for a merchandise refund or exchange. Products beyond 30 days
from date of purchase, special orders and shipping and/or handling
charges are not returnable or refundable.
» All merchandise returns or exchanges must have the original
receipt and are subject to inspection and must be in resalable
condition and contain the original packing materials, manuals
and blank warranty cards. Any merchandise deemed unsuitable
for resale will not be accepted for exchange or refund.
» Due to health regulations, sanitary and safety concerns,
merchandise that has come into direct contact with the human
body or has been worn cannot be returned or exchanged.
Contact Customer Service at 888-303-9354 for complete
details prior to placing your order.
» Mayo Clinic Store will only pay return shipping costs if returned
items shipped due to our error.
» Refunds will be issued via original payment method.
» Return Merchandise Authorization (RMA) number must be
obtained from our Customer Service Department for any and all
returns.
! To obtain your RMA number, simply call toll-free
at 888-303-9354 during our hours of operation.
! Item(s) being returned must be returned within 10 days of
receiving your Return Merchandise Authorization number.
To view catalog online, go to www.MayoClinic.org.
30
» Name and address of the Medicare recipient
» Medicare number
» Date of birth
» Your doctor’s prescription for the item (signed and dated on or
before the date of your order) with:
» Doctor’s National Provider Identifier Number
» Diagnosis code and description
Please mail the necessary papers and information with your order.
Inquiries about reimbursement should be made through your
Medicare office. Please allow 10 to 12 weeks for reimbursement.
Please Note
» Mayo Clinic Store does not guarantee Medicare reimbursement.
Reimbursement is based on Medicare’s assessment of the
patient’s need. Reimbursement amount is determined by
Medicare and may vary from state to state. This may be less
than the purchase amount.
» Medicare will send the explanation of benefits and any
reimbursement directly to the beneficiary.
» Certain items in this catalog may require a Certificate of
Medical Necessity (CMN) to be completed by the patient’s
doctor. We will send the appropriate CMN to your doctor once
we have received the prescription. Please note that a claim
requiring a CMN takes longer to process.
» Please be aware: Medicare may change the allowable without
notice to you.
Private Insurance Claim Filing Policy
If you have private insurance, we will gladly file a claim to your
insurance company. At the time of your order, you will need to
provide us with your insurance information, policy number, date of
birth and diagnosis information.
Prices are subject to change without notice.
Products and Services not available at all locations.
Order by Telephone
Order by Fax
Call toll-free 888-303-9354 prompt #1.
Our customer service representatives are available Monday
through Friday, from 8 a.m. to 5 p.m. Central time. Please
have your VISA, MasterCard, American Express or Discover
Card available.
Fax your order to 507-284-1272
24 hours a day, seven days a week.
Can’t Find It? We Have It!
If you are unable to find what you’re looking for, kindly
contact our friendly sales team and we’ll find it for you.
Mayo Clinic Store • Proceeds from products purchased support medical research and education at Mayo Clinic.
Order Form
888-303-9354
FAX YOUR ORDER: 507-284-1272
MAYO CLINIC STORE
ORDER TOLL-FREE:
21 2ND STREET SW, SUITE 1-50
ROCHESTER, MN 55902
SHIP TO
ORDERED BY
NAME
NAME
DAYTIME PHONE
DAYTIME PHONE
STREET ADDRESS
(CANNOT DELIVER TO P.O. BOX)
EMAIL ADDRESS
(OPTIONAL)
CITY/STATE/ZIP
PATIENT NAME
(IF DIFFERENT FROM ABOVE)
COUNTRY (IF OTHER THAN U.S.)
MAYO CLINIC PATIENT ID #
(IF APPLICABLE)
✁ REMOVE PAGE ALONG DASHED LINE TO FAX ORDER FORM
PRODUCT INFORMATION
ITEM #
PRODUCT DESCRIPTION
SIZE
PRICE EACH*
QTY
TOTAL
*PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRODUCTS AND SERVICES NOT AVAILABLE AT ALL LOCATIONS.
METHOD OF PAYMENT
PRICE TOTALS
❑ CHECK OR MONEY ORDER ENCLOSED (MAKE PAYABLE TO MAYO CLINIC STORE)
SUBTOTAL
$
❑ CHARGE (SELECT CARD TYPE BELOW)
❑ VISA ❑ MASTERCARD ❑ AMERICAN EXPRESS ❑ DISCOVER
TAX (IF APPLICABLE)
$
CREDIT CARD NUMBER
TAXES MAY VARY PER STATE
EXPIRES
SHIPPING
(IF APPLICABLE)
TOTAL
SIGNATURE
$
$
❑ PLEASE CHECK IF YOU WOULD LIKE US TO FILE YOUR MEDICARE CLAIM.
SHIPPING AND HANDLING (CONTINENTAL U.S.)
ORDERS TOTALING UP TO $125 WILL HAVE A FLAT $9.95 SHIPPING CHARGE (BULK ITEMS EXTRA). ORDERS OF MORE THAN $125 WILL BE SHIPPED FREE OF CHARGE. WE CAN
PROVIDE PREMIUM SHIPPING SERVICES INCLUDING NEXT DAY AND SECOND DAY. CHARGES FOR PREMIUM SHIPPING SERVICES WILL BE ADDED TO THE INVOICE. INTERNATIONAL
ORDERS WILL BE CHARGED ACCORDING TO THE DESTINATION.
Mayo Clinic Store • Order Toll-Free 888-303-9354 • Fax 507-284-1272
31
Solutions for Healthier Living
call 888-303-9354 to order a free catalog below ...
Our convenient store locations and hours
call 888-303-9354 ~ 8:00 a.m. to 5:00 p.m. Central time ~ Monday through Friday
Mayo Clinic Store
Siebens Building,
Subway Level
Rochester, Minnesota
Mayo Clinic Store
Mastectomy and
Compression Products
Kahler Plaza, Subway Level
Rochester, Minnesota
Mayo Clinic Store
Sleep Apnea Supply
Gonda Building,
17th Floor
Rochester, Minnesota
Mayo Clinic Store
Hope and Healing
Eisenberg Building
Subway Level
Rochester, Minnesota
Mayo Clinic Store
Flower of Hope
5881 E. Mayo Blvd #3-105
Phoenix, Arizona
Mayo Clinic Store
Mayo Clinic Health System
Albert Lea
404 West Fountain Street
Albert Lea, Minnesota
Mayo Clinic Store
Mayo Clinic Health System
Austin
1000 First Drive NW
Austin, Minnesota
Mayo Clinic Store
Mayo Clinic Health System
Fairmont
800 Medical Center Drive
Fairmont, Minnesota
Mayo Clinic Store
Mayo Clinic Health System
La Crosse
620 11th Street South
La Crosse, Wisconsin
Mayo Clinic Store
Mayo Clinic Health System
Mankato
1400 Madison Ave., Suite 100A
Mankato, Minnesota
Mail-Order Service
Rochester, Minnesota
Proceeds from products purchased support
medical research and education at Mayo Clinic.
This catalog is intended for the use of patients and employees of Mayo Clinic.
MC1234-74rev0616