Support for Complex Rehab & DME Orders

Fast, simple ordering-all in one place

Ready to Order Form for MD, DO, APRN, PA-C

Standard Written Order Form

Electronic Platforms

Epic

Parachute

PointClinkCare

Order by Fax, Email or Electronically (HIPAA Compliance)

eFAX: (941) 841-6281

Email: orders@ampoweredmobility.com

Designed to Minimize Delays

Our streamlined forms and approval processes are specifically designed to capture all essential details upfront, ensuring:

•  Complete and accurate documentation from the start

•  Appropriate product selection aligned with the patient’s treatment plan, individual needs, and insurance coverage requirements

•  Precise ordering of the correct product, proper fit, and required quantity

By proactively addressing these common gaps, we significantly reduce the need for follow-up inquiries and help ensure your orders are processed quickly and efficiently