Referrals

At Advance Medical Equipment we believe in the power of collaboration to provide the best care for our patients. Our referral resources are created to help make the process as seamless as possible for both patients and healthcare providers.

Our fillable PDF forms are designed to allow fast and comprehensive intake for the most common needs of your patients, and our experienced team of Customer Service Representatives process forms and referrals generated by all EMR systems with priority and ease.

To expedite processing please include the patient encounter notes and order signed by a medical practitioner with referral form(s).

General Referrals - Covers a wide range of the most commonly prescribed medical equipment. The notes section can be used for special instructions, and to request less frequently ordered items not individually listed.

Leg and Arm Bracing - Formatted for patients requiring leg and arm braces. Use this form to recommend the appropriate brace type, size, and any additional support features necessary for the patient's comfort and well-being.

Back Bracing - Formatted for patients needing lumbar support and back braces. Use this form to specify the type of back brace required, any additional support features, and the size that best fits the patient's needs.

To submit a referral, please download and complete the appropriate form(s) and return to us via fax or email. Our team will review the information provided and promptly follow up with both the healthcare provider and the patient to ensure a smooth and efficient process.

Fax: (952) 658-6853; Email: mnservices@advancedmoe.com

Thank you for trusting Advance Medical Equipment with your home medical equipment needs. We look forward to working with you to provide safe, comfortable, and independent living solutions for the people you serve.