Submit your order by efax/surescripts

1

Download the order sheet:
Click the button below and select your order sheet.

2

Fill it out and have it signed by the requesting physician.
This will help us deliver the order on time & ensure it will be
reimbursed by the patient’s insurance carrier.

3

Fax it to us using our cover sheet:
Don’t forget to attach any required documentation.

Providers can send your Surgical Supplies prescriptions electronically by finding us at 212-966-4420
en_USEnglish