Documentation

Providers and clinic staff can use this secure form to upload patient prescriptions, chart notes, face-to-face visit summaries, CMNs, and other required documents for durable medical equipment.

Patients may also use this form if they have relevant paperwork. Please complete all required fields so we can match documents to the correct account.

This form is HIPAA-compliant.

All information is securely encrypted and used only for equipment processing.

Questions?

Call us at (509) 654-9899 - we’re happy to help.