We are here to serve you. Getting DME equipment through insurance is as easy as 1,2,3!

 

Step 1: Fill out the Form below and attach your signed prescription. 

 

Step 2: We will verify insurance coverage for the requested equipment

 

Step 3: We will contact the patient to ship or make an appointment for pick up!

*note: If you are ordering a breast pump please insure you prescription includes your babies birth date or due date.

New Patient Request Form

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Upload Image of Insurance Card
Upload Signed Prescription