For Clinicians: ostomy resources
We have a wide variety of ostomy care options to serve customer needs. Call us for FREE* samples or refer a patient below.
1-800-550-3224
Refer a patient
Please complete the form below to refer one of your patients to our specialists. We will speak with you before contacting the patient.
Download a prescription order form
*Free samples are of nominal value and are shipped with your order and may require a doctor’s prescription, qualification and enrollment. Patient responsible for payments not made by Medicare or Insurance. Co-pays, deductibles and some restrictions and conditions apply. Foley catheter samples are not provided.
Why work with us
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- We provide the leading manufactured brands of Ostomy supplies
- You’ll have one point of contact -VIP Service -Dedicated Area Sales Consultant
- Downloadable order form available
- Patient’s supplies will ship promptly
- Translation services are available for over 200 languages
- Free* samples are provided to both clinicians and patients
- You’ll have knowledge that your patient is being well cared for
*Free samples are of nominal value and are shipped with your order and may require a doctor’s prescription, qualification and enrollment. Patient responsible for payments not made by Medicare or Insurance. Co-pays, deductibles and some restrictions and conditions apply. Foley catheter samples are not provided.
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Prescription order form
Download and complete this form to request supplies for your patient. The form includes instructions as well as our phone and fax numbers.
Once completed, email to: [email protected]
Insurance information for billing
Patients whose insurance follows Medicare guidelines must either have a permanent Colostomy, Urostomy, or Ileostomy (or a combination therein, if multiple stomas).
- Medicare defines “permanence” as a condition expected to last greater than 90 days.
- We areunable to provide supplies for a patient’s fistulas, if present, as this is considered under the umbrella of wound care.
Patients whose insurance does not follow Medicare guidelines are subject to the medical coverage criteria of their respective insurer. The patient must still have an Ostomy related condition, with a surgical stoma, documented within their medical record to qualify for Ostomy Supplies.
To provide the patient with a Hernia Belt, the patient’s medical record must detail the patient actively having a hernia. These chart notes will need to be provided prior to the order being dispensed.
Still have questions?
Get in touch. Our specialists are ready and willing to help.
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Call:
1-800-550-3224
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Fax:
1-888-205-1558
Let us contact you
Fill out the easy form, tell us how we can help, and we’ll be in touch.
More resources
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All ostomy supplies
Explore ostomy care product options from the leading manufacturers.
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Ostomy tips & guides
We’re here to help ostomates get the most out of their ostomy care with tips and guides.
