Please complete our secure HIPPA compliant form to order a bone growth stimulator.

 
 
 
 
 

 
 

In order to submit for insurance authorization we require the following documents...

 
 
 

If your order is prior to surgery please upload the last clinic visit note.

If your order is after the surgery please upload the signed op report.

 

Upload your documents to our secure HIPPA compliant portal here...

Drop your files here