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
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
- Excel
- PowerPoint
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Detailed Written Orders
- AffloVest DWO
- Ambulatory Aid Written Order
- Bed Support Surfaces Written Order
- BiPAP DWO
- Breast Pump DWO
- CGM DWO
- Compression RX
- CPAP DWO
- Diabetes Detailed Written Order
- Equipment and Supply DWO
- General DWO
- Medical Compression Prescription
- Nebulizer DWO
- Negative Pressure Wound Therapy DWO
- NIV DWO (Non-Invasive Ventilation)
- Ostomy Written Order
- Oxygen Discharge DWO
- Oxygen DWO
- Pulse Ox DWO
- ShipPAP DWO
- Trach DWO
- Urological - Coloplast DWO
- Urological DWO
- Wheelchair Accessories Written Order
- Wound Care Treatment Plan
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Diabetes Forms
- Diabetes Shoe Form
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Orthotics & Prosthetics
- Orthotic/Prosthetic Order Form
- Orthotics & Prosthetics Resource Guide (Indiana)
- Orthotics & Prosthetics Resource Guide (Michigan)
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Rehab Forms
- 7 Element Order
- MSA Addendum A
- MSA Addendum B
- Power Wheelchair Qualification
- Power wheelchair with Power Seating Qualification
- Scooter Qualification
- Ultralight Weight Wheelchair Qualification
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Resources
- Accepted Insurance List MI, IN, FL