Medical Art Resources

Restoring Confidence with Lifelike Prosthetics

Restoring Confidence with Lifelike Prosthetics

Physicians’ Forms

Thank you for referring your patient to us for evaluation for a custom prosthesis or faceguard. Our Physician’s order form PDF includes the information needed to comply with insurance requirements or you can provide your own letter/prescription. Your recent clinical notes help us learn more about your patient’s needs and are helpful for insurance authorization.

Our patient registration forms are available in the Patient Resources page of our site for the convenience of your patients.