HFCWO | SmartVest® Airway Clearance System | Insurance forms | Medicare | Medicaid


Electromed, Inc.’s Reimbursement Department has pioneered the unique referral forms below to reduce the paperwork and medical documentation required by you, the health care professionals.

Reimbursement and Order Forms

Insurance and Medicaid Forms

Prescription and Certificate
of Medical Necessity Form

Miscellaneous

Sample Progress Notes (Medicare)

MEDICARE Forms

For further information, do not hesitate to contact the Electromed, Inc. Reimbursement team at 800-462-1045.