Forms & Download Guides - RA Fischer Co.

Check out some of our helpful resources

More information on hyperhidrosis, the insurance process & iontophoresis support

Insurance & Physician Packet

Interested in going through insurance? We’ll send this packet to your physician (or you can bring it to them) to get the information required to file a pre-authorization request.

Patient RX Form

Prescription form for The Fischer Tap Water Iontophoresis Device, to be filled out by a licensed healthcare practitioner.

Insurance Reimbursement Guide

Seek payment from your provider without first waiting for approval.

Iontophoresis Physicians Booklet

Everything you need to know as a medical practitioner to prescribe iontophoresis.

The Fischer Instruction Manual

A digital copy of The Fischer instruction manual.

Back-to-School Letter

A letter for your student to take to school that helps explains their symptoms to teachers and faculty.

Hyperhidrosis Solutions Comparison Chart

Comparing your options, from antipersperants to medications.

Pediatric Hyperhidrosis – Gordon & Hill

Scientific paper published 2013.

Treatment of Palmar Hyperhidrosis by Iontophoresis – Stolman

Scientific paper published 1987.

Palmar and Plantar Hyperhidrosis Practical Management – Benohanian, Boudjikanian & Paylan

Scientific paper published 2007.

Hyperhidrosis Management Options – McConaghy

Scientific paper published 2018.

Can‘t Find What You’re Looking For?

You can request a specific form from us! Just do us a favor and please fill out this form to the right. One of our Treatment Specialists will attempt to locate the form and email it over.

Frequently Asked Questions

Do I have hyperhidrosis?

Do your hands drip with sweat? Are your socks always soaked? Hyperhidrosis is a medical condition that causes abnormal sweating not related to exercise or another underlying condition. While it can affect different areas of the body, the most common cases involve the hands, feet, and/or underarms. Besides being a physical medical condition, hyperhidrosis can often cause social anxiety and occupational difficulties that severly limit an individual’s quality of life. Our Treatment Specialists can share some truly inspiring success stories of people – both young and old – whose lives have been changed after discovering our iontophoresis device.

What is iontophoresis?

Iontophoresis is an at-home treatment for managing sweat from hyperhidrosis. The treatment introduces ions into the body through the skin by applying a mild electric current. For hyperhidrosis patients, iontophoresis uses the natural minerals found in tap water to “plug” the sweat pores, creating a long-lasting dryness barrier.

Treatment session times vary between 15 – 20-minutes. On average, patients see significantly drier results within 2-weeks.

Iontophoresis has been clinically-proven to reduce sweat since the 1950s. Modern studies by Dr. Fred Levit and Dr. Lewis P. Stolman have continued to demonstrate the efficacy of iontophoresis for treating hyperhidrosis.

Interested in learning more? Ask one of our Treatment Specialists to provide you with a clinical case study.

Do you require a prescription?

Yes, because we are an FDA-Cleared medical device, all sales within the United States must be accompanied by a prescription. If you live outside of the U.S., you can order online or over the phone without needing a doctor’s prescription.

What does the treatment feel like?

Patients report feeling a tingling sensation during treatments. Occasionally, some users have described the feeling as having a “pins and needles” sensation – like your hands/feet are falling asleep. Nothing you can’t endure for 15-20 minutes while you watch your favorite show on TV! The most important thing is to treat at a power level that is comfortable for you. Iontophoresis should never be painful.

How much does The Fischer cost?

The Fischer: Underarms is available out-of-pocket for $675. The Fischer: Hands & Feet is available out-of-pocket for $975. We do work with insurance companies, however, to try and get the cost 100% covered. We also offer 3, 6, and 12 month payment plans for patients who lack hyperhidrosis coverage, with payments starting at just $59.

How do I order?

You can place your order online by adding one of The Fischer bundles (Hands & Feet or Underarms) to your shopping cart, or by calling us at (800) 525-3467. We accept debit, credit cards, and PayPal.

We also offer monthly payment plans, which allow you to pay for your iontophoresis machine over time.

If you’re based in the U.S., your doctor will need to write a prescription for The Fischer. Prescriptions can be emailed to rx@rafischer.com, or faxed to our secure line at (818) 775-2941.

Do you offer monthly payment plans or financing?

Yes! Through our financing partner Affirm, you can choose between 3, 6, and 12-month payment plans. See if you qualify for 0% APR in less than 5 minutes. You’ll be sent loan confirmation and payment reminders via email and text.

Your account is created using your name, email, mobile phone number, birthday, and the last 4 digits of your SSN. This combination helps Affirm verify and protect your identity.

Affirm’s prequalifying will not affect your credit score. When you first create an account, Affirm performs what’s called a ‘soft’ credit check to help verify your identity and determine your eligibility for financing. This ‘soft’ credit check will not affect your credit score whatsoever.

Do you offer a warranty?

Yes! The Fischer is backed by a 4-Year Warranty. Our warranty covers any manufacturer defects, but does not cover general wear and tear that may occur over time. With U.S.-based support, repairs are hassle-free.

Do you offer a Money Back Guarantee?

Absolutely! While iontophoresis is 91% successful, it doesn’t work for everyone. That’s why we offer a 60-Day Money Back Guarantee (less shipping) on The Fischer. Since most patients see drier results in 2-weeks, this 60-day window gives you more than enough time to determine if iontophoresis is right for you. What have you got to lose?

Once we receive your device, it is subject to inspection. Please allow 10-15 business days for us to process your return and issue a refund.

IMPORTANT NOTE: Please call us at (800) 525-3467 to obtain Return Authorization before shipping the device back to us. If you do not call us before you ship your device back to us, it may take longer to process your return and delay your refund.

How often should I use The Fischer?

Everyone’s body is different, so it’s important that you talk to your doctor and your personal Treatment Specialist are RA Fischer Co. to establish a schedule that works for you. Most patients begin with 15-20 minute sessions 2-3x a week to start. However, in more severe cases, treating every day to start may be required.

Once you’ve achieved your desired level of dryness, you can reduce to the schedule that works best for you – once a week, once a month.

Begin at a low intensity – 1-3mA – and work your way up until you find a comfortable level. Most patients typically treat at 10-15mA for hands and 15-18mA for feet once they’ve reached their “maintenance schedule.” Keep in mind that iontophoresis is like going to the gym – you have to keep at it!

Iontophoresis should never be painful, so treat at a power level that’s comfortable for you.

What power level should I be using?

Iontophoresis should never be painful, so treat at a power level that’s comfortable for you.

How much water should I put into the trays?

Fill each water bath tray so that they blue foam inserts are sufficiently damp. This usually equates to between 2-5 cups of water, depending on the area you’re treating.

When can I reduce the frequency of treatment sessions?

Most patients see a noticeable reduction in sweating within the first 2-weeks of consistent treatment. You can gradually reduce the frequency of treatments once you’ve achieved your desired level of dryness. Maintenance treatments will be required, and this will vary from person to person. Patients have reported treating just once a month as part of their regular schedule, while some may require once-a-week sessions.

Can I do more than one treatment per day?

Using The Fischer more than once a day is not recommended. There is an increased risk of sensitivity, skin redness and irritation, and chronic dry skin from overuse. Refer to The Fischer Instruction Manual for details on our recommended treatment schedule.

Will my health plan cover the purchase of an iontophoresis device?

The Fischer iontophoresis machine is considered a medical necessity by some major insurance carriers. We work with Tricare, Humana, Aetna, United & more. Our Treatment Specialists can review your coverage options and assist with obtaining a prior-authorization from your insurer.

Unfortunately, some insurance companies label hyperhidrosis as a “discomfort” and not a debilitating medical condition. By going directly to your provider, you have a higher likelihood of getting reimbursed for your purchase. We’ve created this Insurance Reimbursement Guide to help you navigate the reimbursement maze.

Can RA Fischer help me find out if my insurance will cover the cost?

Absolutely! If you have any questions about your insurance coverage, a Treatment Specialist at RA Fischer Co. can contact your provider on your behalf and inquire into eligibility. Then, we’ll review all of your options with you so you can make the best decision based on your timeline and budget.

What information is needed to complete my insurance inquiry?

Once we have received your inquiry, we’ll need the following information:

Your full name and date of birth of patient
Your full name and date of birth of beneficiary, if different from patient
Copy of the front and back of your insurance card
Doctor’s name and contact information
Copy of doctor’s prescription

This information can be submitted via email to rx@rafischer.com after submitting your insurance inquiry.

What is prior-authorization and why is it needed?

Prior authorization may be required by your insurance company before obtaining an iontophoresis device. Prior authorization confirms that the device is considered medically necessary. However, receiving prior-authorization approval does not guarantee payment from your provider. Contact us to learn more about navigating the insurance process.

Who can start a prior authorization request and what information is needed?

A prior authorization request can be started by you, your doctor, or one of our Treatment Specialists here at RA Fischer Co. However, some insurance plans will only allow a prior authorization to be initiated by the member or their doctor.

Most prior authorization requests will require additional information from your doctor to show medical necessity. Have your doctor complete our Insurance & Physician’s Packet to get started.

What are my shipping options?

We ship via UPS, USPS or FedEx. Expedited shipping options are available depending on your situation.

Do you ship internationally?

We sure do! We ship globally via USPS Global services. Expedited shipping options may be available depending on your country.

Please note that international shipping costs do NOT include any customs fees or taxes that may be charged when your package arrives at its destination.

How long does shipping take?

On average, we ship the same day or next day, and delivery takes between 3-5 business days depending on where you live. Shipping time for international orders may vary.

Are customs fees and taxes included in shipping for international orders?

No, customs fees and taxes are not included in shipping costs. Taxes and fees are dependent on the country of delivery and are the responsibility of the patient.

For additional information, we recommend the following links:
International Hyperhidrosis Society
Sample Letter of Medical Necessity (PDF)