Forms and resources
The paperwork your doctor needs, plus guides and published research. If you are not sure which form applies to you, call us on (800) 525-3467 and we will send the right one to the right place.
The two forms most people need
Both are completed by the prescribing doctor. You can download them here, or we can send them to the doctor’s office for you, which is usually simpler.
Iontophoresis Insurance & Physician Packet
For patients seeking insurance coverage of The Fischer iontophoresis machine. Includes the prescription order form and the letter of medical necessity.
BD® PureWick® Authorization Form
Authorization paperwork for the BD® PureWick® Urine Collection System and the monthly external catheter supply.
Rather not handle the paperwork yourself?
Start a coverage check and we will send the form to the doctor’s office directly, then follow up until it comes back. It costs nothing and there is no obligation.
Other things patients ask for
Peer-reviewed studies on iontophoresis
Useful if your insurer asks for supporting evidence, or if your doctor wants to read up before prescribing.
Not sure which form you need?
Tell us a little about the patient and their insurance, and a Treatment Specialist will work out which paperwork applies and send it to the right place. Checking coverage costs nothing and carries no obligation.