We welcome your referral. The following information is all we need to get the equipment/therapy started.

You can email this information to us at:

ContactUs@AssociatedHealthcare.com

Or, you can fax the information to our confidential fax # at:

1-800-748-6335 (Customer Service fax)

Or, as always, you can call our Customer Service professionals at:

1-800-287-0045

Patient name
Patient phone number
Insurance coverage
Prescribing Physician
Physician phone number
Equipment prescribed
Diagnosis

We will take it from there and contact you and your patient to get equipment set up and instructed by our trained Clinical Staff and Service Technicians.