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Submission: On October 13 via manual from US — Scanned from DE
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We use cookies to improve your experience. Please read our Privacy Policy or click Accept.× 1.888.344.3434 Contact Us Sign In / Register Sign In Register * Current Customers * Reorder Supplies * Upgrade Your Insulin Pump * Pay My Bill * New Insurance Updates * Sign Into MYEHCS Account * New to EHCS * Benefits of Enrollment * Getting Started * Nationwide Plans * Diabetes Products * Continuous Glucose Monitors (CGMs) * Abbott FreeStyle Libre CGM * Dexcom CGM * Medtronic CGM * Senseonics CGM * Insulin Pump Therapy * Insulet – Omnipod * Medtronic Insulin Pumps * Tandem Insulin Pumps * V-Go Insulin Delivery System * InPen, Smart Insulin Delivery * Diabetes Testing Supplies * View All Products * Insurance-Covered Breast Pumps * Education and Support * Healthcare Providers * Parachute * Refer a Patient * Upload Patient Documents * Contract with EHCS * About Us * About Us * Our Story * Accreditations * Locations * News * Careers * Contact (888) 344-3434 Contact Us Sign In / Register (888) 344-3434 MENU * Current Customers * Reorder Supplies * Upgrade Your Insulin Pump * Pay My Bill * New Insurance Updates * Sign Into MYEHCS Account * New to EHCS * Benefits of Enrollment * Getting Started * Nationwide Plans * Diabetes Products * Continuous Glucose Monitors (CGMs) * Abbott FreeStyle Libre CGM * Dexcom CGM * Medtronic CGM * Senseonics CGM * Insulin Pump Therapy * Insulet – Omnipod * Medtronic Insulin Pumps * Tandem Insulin Pumps * V-Go Insulin Delivery System * InPen, Smart Insulin Delivery * Diabetes Testing Supplies * View All Products * Insurance-Covered Breast Pumps * Education and Support * Healthcare Providers * Parachute * Refer a Patient * Upload Patient Documents * Contract with EHCS * About Us * About Us * Our Story * Accreditations * Locations * News * Careers * Contact HEALTHCARE PROVIDERS WELCOME HEALTHCARE PROVIDERS Referring patients is simple and secure! Our goal at Edwards Health Care Services (EHCS) is to empower patients to take control of their life by better managing their diabetes with the guidance of a skilled healthcare provider or educator, like yourself! To better serve you and your patients, below are the different ways you can refer a patient to EHCS as well as necessary healthcare provider and patient forms. If you’re interested in learning more about the products we carry and the services we offer, please view our EHCS Corporate Brochure. Ready to refer a patient? There are multiple ways to send your referrals; pick the option that is best for you! Please include patient demographics, CMN, chart notes, and labs for pumps. Below are available options to send referrals to EHCS: * E-prescribe: www.myehcs.com/parachute * Web: www.myehcs.com/diabetes-referral-form/ * Email: dca@myehcs.com * Phone: (800) 951-1725; Fax: (502) 657-0237 * Upload documents: www.myehcs.com/upload-patient-documents * Need to process as a pharmacy benefit? Use our sister pharmacy GEM Edwards Pharmacy: www.gemedwardspharmacy.com Health Care Provider Forms To ensure that EHCS continues to meet the requirements of the FDA and your patient’s insurance, please review, complete, and send the following with your referral to expedite the process. CMN FOR CGM CMN – INSULIN PUMPS MEDICARE – CGM MEDICARE – PUMP Patient Forms These links are great to pass along to patients for faster service. Once these forms have been completed, they will be sent directly to our Diabetes Care Advisors for processing. * EHCS Assignment of Benefits & Financial Responsibility Form (patient form) * EHCS Rental Agreement for Insulin Pump (patient form) * Blood Glucose Log Sheet (patient form) Pharmacy Benefits At times, we understand that EHCS may not be able to process your patients request through medical benefits. That’s why we are excited to introduce our sister company, GEM Edwards Pharmacy. GEM Edwards Pharmacy is our accredited mail-order pharmacy that provides great customer service, medications, and diabetes supplies shipped direct to your patients home. Click here to refer patients through as a pharmacy benefit. SUBSCRIBE TO OUR NEWSLETTER Enter your email address below to receive up-to-date news and information! EDWARDS HEALTH CARE SERVICES 5640 Hudson Industrial Parkway Hudson, OH 44236 CONTACT US: 1.888.344.3434 send us an email CONNECT WITH US: CURRENT CUSTOMER: Reorder Supplies Pay Your Bill Insurance Updates Sign into My Account NEW TO EHCS: Benefits of Enrollment Getting Started GENERAL INFORMATION: About Us Accreditations Locations News SUPPORT CENTER Customer Education & Support Health Care Providers ALSO OF INTEREST Edwards Health Care Services (EHCS) has been...Refill FormRefer a Patient @2022 Edwards Health Care Services All Rights Reserved * Customer Rights & Responsibilities * Terms of Service * Disclaimer * Privacy Policy * HIPAA Policy Your Cart Your cart is empty Shop Now