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Enrollment Process
The easy 3-step enrollment process is designed to be quick and simple, taking less than 15 mins to complete!
Step 1
Complete the easy enrollment form and select your starter kit. We’ll contact you to confirm your details
Step 2
Click Patient, then Order to tell us about your immediate and recurring equipment and supply needs
Step 3
We ship your order and coordinate the claims paperwork as required for the Dept of Labor
“Due to updated DOL requirements, a signature is now required to confirm receipt of all shipments. To make this easy, please provide a mobile number or email address where we can send electronic signature requests by text or email. This can be an adult authorized to help the patient with signature requests. Thank you for your understanding and cooperation!”
If you prefer to enroll offline, download the forms. Once complete, email the completed forms to [email protected]
