Prescription Page

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How to send us a Prescription.

Adaptive Specialties is happy to help you if you have any questions regarding a prescription.

Information required on a prescription:
	Please include: Client's Name (person using the equipment) Date of Prescription Date of Birth Product to be purchased Diagnosis Doctor's Name and NPI number Doctor's signature Completed Prescriptions should be FAXed to 877-571-6649 Please call 877-808-4540 or use the form below to email us. Include your contact information, in case we need to contact you

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