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Order Forms

Providers, Submit Your Orders Online

We've teamed up with Parachute Health to simplify the ordering process. 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.

Register With Parachute


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.


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