Referral Form
Submit a Referral via Fax
Download and complete our DME Referral Form.
Fax the completed form, along with the patient’s face sheet and recent chart notes, to: (773) 555-0147
Reliable DME Pro is a Medicare-approved home medical equipment provider serving Downers Grove, IL and Illinois. We carry lift chairs, rollator walkers, power wheelchairs, hospital beds, patient lifts, mobility scooters and CPAP supplies. We handle your insurance paperwork from start to finish. Call us at (630) 929-0745, you can also reach us at (773) 555-0147.
Additional Info
Contact
- (773) 555-0147
- START to (773) 555-0147
- info@reliablemedicalequipment.com
- 24/7 emergency support available
- 6800 Main St Suit 014, Downers Grove, IL 60516
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