Will you be using your Medicare insurance to make this purchase?

 

YES

NO

Note: A patient wishing to order a garment through the Medicare insurance must have an open wound present and provide the following documentation:

 

FROM YOUR DOCTOR WE NEED:

• Prescription that specifies either a CompreFlex Lite or a CompreFit garment notating open wound

• Updated physician note that documents a presently existing open wound

 

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