Certificate of Medical Necessity

Many of our machines require a prescription from your doctor. Below are forms you can take to your doctor to have them fill out. The completed form can be faxed back to us at 888-298-2389 or emailed to insidesales@medcomgroup.com

If you have any questions or are uncertain if the machine you are interested in requires a prescription/CMN, please call one of our Patient Representatives at (877) 301-4276.

Certificate of Medical Necessity for Continuous Passive Motion (CPM)

Certificate of Medical Necessity for Cold Therapy

Certificate of Medical Necessity for Sequential Compression Device (SCD)

Certificate of Medical Necessity for Lymphadema Pump

Certificate of Medical Necessity for Electrotherapy (TENS)