You can help us expedite the process of getting your brace covered by your insurance by downloading one of our prescription forms below and taking it to your doctor to sign.
If you already have a signed prescription from your doctor for a brace or support and would like Preferred Medical Supply to bill your insurance please email your signed prescription to firstname.lastname@example.org or Fax it to 561-123-1234
Once we receive the prescription, we will send the desired brace and submit a claim to your insurance provider.
Attention Doctors and Office Staff:
These prescriptions are available for your convenience. Please complete the form above on behalf of the patient and fax it or email it back to Preferred Medical Supply.
Download and Print Your Files:
Upper Extremity & Cervical Guide
Knee Prescribing Guide
Foot & Ankle Prescribing Guide
Cervical Prescribing Guide