TENS Unlimited
TENS Unlimited
  • Home
  • Breast Pumps & Maternity
  • Pain Management
  • Lactation Resources
    • Flange Fitting Guide
    • Breast Pump Cleaning
    • Milk Storage & Prep
    • Compression Sizing
    • 3 Step C-Section System
  • Pain Management Resources
    • Electrode Placement Guide
    • Bone Stim Measurement
    • Bone Stim Set-Up
  • Prescription Forms
  • Baby Gallery
  • Blog
  • About Us
  • More
    • Home
    • Breast Pumps & Maternity
    • Pain Management
    • Lactation Resources
      • Flange Fitting Guide
      • Breast Pump Cleaning
      • Milk Storage & Prep
      • Compression Sizing
      • 3 Step C-Section System
    • Pain Management Resources
      • Electrode Placement Guide
      • Bone Stim Measurement
      • Bone Stim Set-Up
    • Prescription Forms
    • Baby Gallery
    • Blog
    • About Us
  • Home
  • Breast Pumps & Maternity
  • Pain Management
  • Lactation Resources
    • Flange Fitting Guide
    • Breast Pump Cleaning
    • Milk Storage & Prep
    • Compression Sizing
    • 3 Step C-Section System
  • Pain Management Resources
    • Electrode Placement Guide
    • Bone Stim Measurement
    • Bone Stim Set-Up
  • Prescription Forms
  • Baby Gallery
  • Blog
  • About Us

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. 

prescription form

Colorado Insurance Prescriptions

DWO pain Management (CO) (docx)Download
DWO Maternity BP CO (docx)Download
DWO additional breast pump supplies (docx)Download
Certificate of Medical Neccesity NMES ( Co medicaid) (docx)Download

Hawaii Insurance Prescriptions

CMN bone stimulator HI (pdf)Download
DWO Maternity BP HI (docx)Download
DWO Tricare Additional Supplies (docx)Download
CMS-846 Pneumatic compression devices (pdf)Download
DWO pain Management (HI) (docx)Download
TENS Unit CMS-848 PRE-FILLED FOR (HI USE ONLY) (pdf)Download

Please upload your Prescription & Insurance card for faster service, incomplete information my delay the process.

Upload Prescription/ Insurance
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 TENS Unlimited LLC Locations


Hawaii 
650 Iwilei Rd #290, Honolulu, HI 96817  
Mon - Thurs 9AM-4PM (HST)
Fri - 9AM - 3PM (HST)
(808) 722-0226

tensunlimitedllc@gmail.com


Colorado

 5145 N Academy Blvd #210, Colorado Springs, CO 80918

Mon - Thurs 8AM-5PM (MDT)

Fri - 8AM - 3PM (MDT)

(719) 638-4056 

tensunlimited@gmail.com
​

 

Copyright © 2021 TENS Unlimited - All Rights Reserve

  • Home
  • Breast Pumps & Maternity
  • Pain Management
  • Prescription Forms
  • Baby Gallery
  • Blog
  • About Us

 We provide top brand medical equipment  to anyone in need. Insurance accepted. Call us today to see if you qualify!

Fast and Reliable Service!


 Colorado (719) 638-4056

Hawaii (808) 722-0226 


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