For Prescribers
Prescription order form.
Download, complete, and fax our order form along with patient demographics and supporting chart notes to (504) 313-1540. Our team handles benefits verification and shipping from there.
1. Complete the form
Patient info, garment selection, qualifying diagnosis, and prescriber signature.
2. Fax to us
Send to (504) 313-1540 with patient demographics and supporting chart notes.
3. We take it from here
We verify benefits, confirm sizing, and ship directly to the patient.