What information do I need to send with my referral?
- Patient demographic information, including insurance information
- Height and weight to ensure equipment can be fitted properly
- History and physical from the medical record
- Progress notes indicating medical necessity for prescribed medical equipment
- For respiratory equipment, we will need respiratory settings (e.g., Oxygen 2 lpm continous via nasal cannula)
- Physician information
How do I send a referral?
- Fax: 872-469-1673
- Telephone: 847-310-4730
What is the turnaround time for a referral?
We will contact the patient to schedule delivery within 48 hours, pending complete information, including signed orders.
To see a list of in-network insurance plans please visit our insurance, billing & reimbursement section.