Step 1: The VENOWAVE is a Class II Device and as such requires a signed prescription from your physician. Simply download and print the Prescription/Rx form for your family physician to review and sign. Your doctor's office then faxes the completed Prescription/Rx form to VasoCARE @ 1-866-405-5729.
Download Prescription/Rx form - Click Here
Step 2: If you do not have access to a printer, click the below REQUEST FORM box, complete the required information on the Request Form, and then click the submit button. Upon receiving your request, VasoCARE will mail you a blank Prescription/Rx form. Once completed and signed, have your doctor's office fax your prescription back to VasoCARE.
Online Request Form
Step 3: Upon receiving the completed/signed Prescription/Rx, a VasoCARE representative will phone to finalize your method of payment and shipping arrangements.
Note: Upon shipping your VENOWAVE, VasoCARE will include a copy of your invoice and doctor's prescription so that you may present to your insurance company for reimbursement.