Non-Prescriber Orders

Therapists and other non-prescribing providers (SLP, PT, RNs), can create a referral for the product for a patient.   We will confirm insurance coverage and benefits for the patient, and contact them to provide the equipment.   You can use our Referral-Order form which includes all the information we need to get started.

Product referrals for a Patient:

Therapists and other non-prescribing providers (SLP, PT, RNs), can create a referral for the product for a patient. Send us the referral to have CranioRehab request a prescription from the patient's doctor.
  • Download and complete the CranioRehab Order form (PDF download)
    • Make sure to include contact info for you, the patient, and the patient's doctor.
  • Fax the Referral-Order form to us at 303-480-9115.
  • Inform the patient of the Order, then print out a brochure from our Patient Info and Brochures for the patient to review.

The Next Steps--Ordering, Insurance, and Delivery:

After receiving the Order Form, CranioRehab will:
  • Contact the patient and provider for more information as needed.
  • Confirm coverage, benefits, and exclusions with the patient's insurance company.
  • Contact the patient about the order, their insurance benefits and any pre-auth requirements.
  • Confirm the final purchase and delivery information with the patient.
This process generally takes 2-5 days, and most of our products include ground free shipping. However insurance authorization, phone tag, and other issues can sometimes significantly delay the process.