Referrals

Get Your Patient Equipped, Fast

One page. Every form. Every insurer we work with. Send us a referral in under 5 minutes.

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Serving South Florida since 1989

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1-business-day response

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Medicare-accredited DME provider

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Certified Excellence in Homecare

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.

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Step 2 — Fill it out.

All forms are Medicare-compliant. Include the SWO plus any guideline checklist for the equipment type.

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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.

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Referral Forms & Order Documents

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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.

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