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Physician Referral

Some of our products require a physician's order.  To help us evaluate your patients' needs, click on the thumbnail on the right to download.  Please complete the form and fax it to our office before your patient comes in for a personal consultation.

If your patient needs a mobility device, Piedmont Medical Supply's certified specialist can evaluate your patient which not only ensures that the prescription is necessary but also which product specifically fits their needs. 

We encourage you to discuss the pros and cons of dealing with out-of-state companies that sell mobility products.  Some of these companies mislead consumers and obviously cannot service the devices.  Piedmont Medical Supply's reputation is impeccable, and we do service what we sell.
Taking the time
to care...
752 Fourth Street SW    Hickory, NC 28602
Post Office Box 3766    Hickory, NC 28603
Phone: 828.327.6970    Fax: 828.327.2878

Hours: 9am to 5pm Monday through Friday
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