Welcome Physicians

Prescribing DME for your patients has never been easier. Below you can fill out our DWO (doctors written order) form and securely E-Sign the RX. We will verify your patients coverage and contact them same day to receive their equipment. Our staff will also fax you a confirmation letter to insure your patients are receiving satisfactory service. 

DWO(doctors written order) RX form

Patient Information

Equipment Prescribed

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Diagnosis (DX):

Physicains Information

Physicains Signature

Durable Medical Supply

ARIZONA

344 London Bridge Rd

Lake Havasu, AZ 86403

Phone: 928-302-3140

Fax: 928-302-3139

Email durablemedicalsupplier@gmail.com

NEVADA

400 S 4th Street Suite 500

Phone: 702-848-4554

Fax: 928-302-3139

Email durablemedicalsupplier@gmail.com

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