Get Your Patient Equipped, Fast
One page. Every form. Every insurer we work with. Send us a referral in under 5 minutes.
Serving South Florida since 1989
1-business-day response
Medicare-accredited DME provider

In Network Insurance Plans
We handle the paperwork. If your patient is covered by any of the below, we can equip them.
We also accept
Golden Rule
HOME CARE
Memorial Health
ORCHID
Sunshine Health
Three Steps to Get Your Patient Equipped
Step 1 — Pick the form.
Find the right order form for the equipment your patient needs. Use the category filter below.

Step 2 — Fill it out.
All forms are Medicare-compliant. Include the SWO plus any guideline checklist for the equipment type.

Step 3 — Send it over.
Please send referrals by fax to (954) 772-5288 or (561) 894-5296, or by email to customerservice@ahcequip.com.
Referrals may also be submitted through Parachute, CarePort, Epic, GoScripts, or DME Script.

Referral Forms & Order Documents
Have a Question Before Sending?
Our intake team can walk you through anything. No PHI needed — just a call-back and we'll take it from there.


