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

Upload Image of Insurance Card
Upload supported file (Max 15MB)
Upload Signed Prescription
Upload supported file (Max 15MB)

Durable Medical Supply


344 London Bridge Rd

Lake Havasu, AZ 86403

Phone: 928-302-3140

Fax: 928-302-3139

Email durablemedicalsupplier@gmail.com


400 S 4th Street Suite 500

Phone: 702-848-4554

Fax: 928-302-3139

Email durablemedicalsupplier@gmail.com

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