The Process For Patients

Physician Prescription Required


If you are a patient and you’d like to know if a pneumatic compression system would be the right product for you, please consult with your physician. It is important to note that in order to begin compression therapy, a prescription from your physician and authorization from your medical insurance provider will be required.

COLD COMPRESSION PRODUCTS (BIOCRYO) : NO PRESCRIPTION REQUIRED

We service the Gulf Coast States.

Download our Compression Pump Referral Form here to bring to your provider to complete!

Download the intake form here and email completed form to: info@gulfcompression.com

Document Center

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DVT Referral Instructions

DVT Referral Form (Have Provider Complete and Fax To: 800-886-4201)

Compression Pump Order Form: PDF

Compression Pump Intake Form: Standard or Fillable

Patient Consent Form: Standard or Fillable

Patient Assistance Form: Standard or Fillable

Patient Demographic Form: Standard or Fillable

Measurement Forms:

Sizing Charts: