• Prescribing DME & HME For Patients

    Every Referral Is Assigned to a
    Personal Treatment Specialist

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Forms For Referring Doctors

Prescription form for The Fischer Tap Water Iontophoresis Device, to be filled out by a licensed healthcare practitioner.

For patients who have purchased The Fischer that wish to seek reimbursement directly from their insurance provider.

The Fischer Iontophoresis Device

Download prescription forms for our intermittent catheters, iontophoresis devices, or ostomy products. Then, fax it to us at (818) 775-2941, or email us at rx@fischermedicalsupply.com. Your patient will be assigned to a personal Treatment Specialist for follow-up, support, and more. You can also expedite the process by completing the form below with your patient’s insurance information.


This Machine Works!

“My son has suffered for several years with hyperhidrosis and it has affected his quality of life. Thankfully, this machine works!!! He has been taking oral medication for years (that has side effects) and he has been able to lower his dosage after using this machine for a few weeks. We are hoping to completely stop taking the medication soon and just rely on the machine solely. His confidence and self esteem has improved!”

— Stephanie

How To Refer Patients


    Send Paperwork

    Please complete our RX Authorization Form. Then, have your office send it to our Treatment Specialists at rx@fischermedicalsupply.com, or fax it to (818) 775-2941.


    Eligibility & Benefits

    Once your paperwork has been received, your patient is assigned to a personal Treatment Specialist. They will create a new patient record and check into any insurance coverage. Once a determination has been made, the Treatment Specialist will make contact with your patient to review next steps.



    Out-of-Pocket vs. Prior-Auth

    Our Treatment Specialists can help your patient complete their order over the phone, or your patient can checkout on our website. For patients with eligible insurance coverage, we will refer their case to a partner to file the prior-authorization request. If any additional paperwork is needed – including medical letter of necessity, chart notes, etc – a Treatment Specialist will be in touch.


    Ship Equipment

    Once we complete your patient’s order, we’ll ship or drop-ship via a distribution partner within 1-business day. Delivery typically takes 3-5 days.


Want to connect with one of our Treatment Specialists?

Our Team of Treatment Specialists

Every patient referred to Fischer Medical Supply is assigned to one of our personal Treatment Specialists. This person serves as your patient’s single point of contact, guiding them through the ordering process and providing essential treatment support.

  • Experienced in insurance benefits & eligibility
  • Unlimited phone and email support for your patients
  • HIPAA compliant and trained
  • Knowledgeable and friendly

60-Day Satisfaction

Two months is more
than enough time to make
sure a solution works for your patient.

Lightning Fast Shipping
And Easy Returns

Why wait 60-90 days for insurance?
Patients are able to find relief sooner
with out-of-pocket options.


We stand by our DME,
with some of our devices
still going strong after 30+ years.

© 2024 - Fischer Medical Supply