For patients & caregivers
Tell us what you need.
Four questions, and you're done. We'll call you back within one business day and take it from there — including dealing with your doctor's office, your insurance and the paperwork, which is the part that usually stalls.
Rather just call?
A person answers. If you're being discharged from a hospital or rehab facility this week, call instead of filling anything in — it's faster.
What happens after you send this
- We call you, usually the next business day.
- We check your insurance and tell you what it's expected to cost you before anything is ordered.
- Someone comes to you — home, clinic or bedside — to do the assessment and build the file your plan needs.
- We deliver and fit the equipment at home. More on what to expect →
Haven't seen your doctor about it yet? Most equipment needs an order and a chart note before any plan will pay for it. Take our one-page list to the appointment so nothing gets left out. Get the printable checklist →