Referral Forms
Obtain Referral Form From North Shore Medical To Help Your Patients Obtain Equipments
At North Shore Medical Supplies, we make it easy for healthcare providers to refer patients for Durable Medical Equipment (DME). Our streamlined process ensures fast, reliable service so your patients get the equipment they need without delay.
Submit a Referral via Fax
- Download and complete our DME Referral Form.
- Fax the completed form, along with the patient’s face sheet and recent chart notes, to: (708) 773-0129
Follow-Up Support
If you have questions or need to check the status of a referral, our team is here to help. 📞 Call our Referral Support Line at (708) 773-0129
Why Choose North Shore Medical Supplies?
We’re committed to working closely with healthcare professionals to ensure patients receive timely, medically appropriate equipment. Our referral process is fast, HIPAA-compliant, and supported by a knowledgeable team who understands the complexities of insurance and DME requirements.