Thank you for completing the Prescription Information and Contact Authorization Form.

Over the next 2-3 days, we will contact your doctor for a copy of the prescription, contact your insurance to determine benefits and coverage, and contact you to discuss you benefits and ordering.

If you need expedited service or have not heard from us in 3 days, please call us at 1-800-203-8381.

To learn more about the jaw motion rehab systems, visit: Jaw motion rehab system comparison page.

More information and for questions on insurance and coverage.