Thank you for choosing Advanced Prosthetics and your trust to provide care for your patients. Below you will find the step-by-step process for how to refer patients from your practice to our company. You will need to complete the necessary paperwork below which we are required by law to obtain as a DME provider. We appreciate your understanding and following all all the appropriate steps.
Prosthetic/Orthotic Referral Process
1
Step One
Initial Paperwork
Getting Started:
1. Fill Out an Initial Prescription.
2. Patient Progress Notes with Clinical Justification for Device
3. Demographics & Insurance Information
2
Step Two
Send The Orders
- Fax (Find a Location Near Your Office or Patient's Needs)
- Secure Email
- EHR Portal (If Applicable)
Feel free to call us if you have any questions!
3
Step Three
Final Documentation
- Once we have evaluated the patient, your office will receive a Detailed Written Order (DWO) to sign and date.
- See Example
- If Applicable, you may also receive a CMN or additional payer forms
- *Note: The provider must fill out the information
- See Example
- Send the DWO and CMN/other documents back to our office.
Diabetic Shoe Referral Process
1
Step One
2
Step Two
3
Step Three
Prosthetic/Orthotic Referral Process
1
Step One
Initial Paperwork
Getting Started:
1. Fill Out an Initial Prescription.
2. Patient Progress Notes with Clinical Justification for Device
3. Demographics & Insurance Information
2
Step Two
Send The Orders
- Fax (Find a Location Near Your Office or Patient's Needs)
- Secure Email
- EHR Portal (If Applicable)
Feel free to call us if you have any questions!
3
Step Three
Final Documentation
- Once we have evaluated the patient, your office will receive a Detailed Written Order (DWO) to sign and date.
- See Example
- If Applicable, you may also receive a CMN or additional payer forms
- *Note: The provider must fill out the information
- See Example
- Send the DWO and CMN/other documents back to our office.
Diabetic Shoe Referral Process
1
Step One
2
Step Two
3