Skip to Content
Close Icon

Order Forms

PROVIDERS- WE HAVE AN EASIER WAY FOR YOU TO SUBMIT AN ORDER

We've teamed up with Parachute Health to simplify the ordering process. Parachute Health is the fastest, most reliable way to order medical equipment & supplies for patients online. The online ordering platform gives you visibility into order status and real-time messaging in the platform to get your product questions answered directly from Binson's.

Get Started

 

Medical Forms and Manufacturer Manuals

The Detailed Written Order forms below are provided to make the process of obtaining medical equipment easier. These forms must be completed by a physician and include chart notes to support the equipment needed.

You can also find Manufacturer Manuals and Customer Information Sheets for your reference. 

 

  ATTENTION: Chart Notes Required with All Orders

Please attach any chart notes from the visit with your order. Insurance requires all prescribed items to include medical necessity from a face-to-face patient encounter. See specific DWO for more information.

 

  • Icon Key:
  • Word
  • PDF
  • Excel
  • PowerPoint
Aa Aa Aa