top of page


These order forms may be printed for mail in or faxing orders.  You may also download and email to

Call today and speak to one of our specialist regarding our low cost nationwide home trainer rental program

Home Trainer Rental Agreement


Home Electrical Stimulation Order Form

Home Biofeedback Order Form

Patient Product & Sensor Order Form

Professional Product & Sensor Order Form

Letter of Medical Necessity  for electrial stimulation units

                               Downloand PDF

General Information for Home Trainer Rental Program & Common Q&A

Download PDF

bottom of page