Prescription Forms
We made the ordering process EASIER and FASTER!
After receiving your prescription form from your Medical Provider,
all you need to do is 3 simple steps:
1: Upload your prescription
2: Fill out the order form
3: Click "submit".
The printable prescription forms are available to this page below and are designed for our patients who are interested in ordering equipment from our website.
We highly recommend for you to please consult with your Medical provider to approve your order.
Our customer service representative will contact you as soon as we get your application. We are always committed to shipping your orders as soon as possible.
Superb Quality of Equipment,
Fast, Reliable service.
Call us today to learn more about what your
Medical Insurance covers
and maximize your benefits if you qualify!
Colorado (719) 638-4056
Hawaii (808) 722-0226