EXHIBIT 32

    CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF ACCOUNTING OFFICER OF
      SPAN-AMERICA MEDICAL SYSTEMS, INC. PURSUANT TO 18 U.S.C. SECTION 1350

The undersigned,  as the chief executive officer and chief accounting officer of
Span-America Medical Systems,  Inc., certify that the amendment to the quarterly
report on Form 10-Q for the period ended June 28, 2003,  which  accompanies this
certification,  fully complies with the  requirements of Section 13(a) or 15(d),
as applicable,  of the Securities Exchange Act of 1934, and that the information
contained  in the  amendment  fairly  presents,  in all material  respects,  the
financial  condition and results of operations of Span-America  Medical Systems,
Inc. at the dates and for the periods indicated.  The foregoing certification is
made pursuant to ss. 906 of the  Sarbanes-Oxley Act of 2002 (18 U.S.C. ss. 1350)
and no purchaser or seller of  securities  or any other person shall be entitled
to rely  upon the  foregoing  certification  for any  purpose.  The  undersigned
expressly disclaims any obligation to update the foregoing  certification except
as required by law.

By:

/s/      James D. Ferguson
- ---------------------------------------
James D. Ferguson
President and Chief Executive Officer, Span-America Medical Systems, Inc.


/s/      Richard C. Coggins
- ---------------------------------------
Richard C. Coggins
Chief Financial Officer, Span-America Medical Systems, Inc.
(Chief Accounting Officer)

Date:  May 11, 2004