D&J Compression
 

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What Do I (Patient / Therapist) Needs

Send in patient demographic and insurance card (if available)
  • D&J Compression can now find referring physician to send letter of medical necessity
  • D&J Compression can now verify benefits
Send patient’s medical/evaluation notes that state the patients diagnosis. You can send this to us as early as possibly as long as its states the patients diagnosis in the notes.
  • D&J Compression can get further justification for authorization
  • D&J Compression needs this before placing an order
Send Order Consent Form or Check Benefits Form
  • D&J Compression needs the Check Benefits form so that we can see if the patient has any insurance coverage followed by the Order Consent form to place the order.

[/vc_column_text][/vc_column][vc_column width=”1/3″ extra_class=”sidebar” margin_b=”false”][vc_custom_heading text=”Forms” font_container=”tag:h3|font_size:28px|text_align:center|line_height:38px” use_theme_fonts=”yes” css=”.vc_custom_1489520451127{margin-top: 0px !important;}”][nz_gap height=”20″][nz_single_image img_size=”full” alignment=”center” image=”2848″][nz_gap height=”20″][nz_btn text=”D&J Compression Check Benefits Form” link=”https://01ef22.a2cdn1.secureserver.net/wp-content/uploads/2017/03/DJ-Lymphedema-Check-Benefits-Form.pdf” full_width=”true” icon=”icon-download” size=”medium”][nz_btn text=”D&J Compression Order Consent Form” link=”https://01ef22.a2cdn1.secureserver.net/wp-content/uploads/2017/03/DJ-Compression-Order-Consent-Form.pdf” full_width=”true” icon=”icon-download” size=”medium”][/vc_column][/vc_row][vc_row full_width=”true” padding_top=” 0″ padding_bottom=” 0″][vc_column margin_b=”false”][nz_tagline title=”An experienced fitter will be available to help trouble shoot difficult cases as well as help with product knowledge to improve patient compliancy” color=”#777777″ background_color=”#fafafa” button_color=”default” link=”https://dandjcompression.com/contact-us/” text=”Contact Us”][/vc_column][/vc_row]