Call: 
How to Refer Patients to 180 Medical
Choose the referral option that works best for your office, and we'll work quickly to get your patients the catheters or ostomy supplies they need.
Refer Online with E-Script
Log in to your account or use the Quick Referral option to securely submit your catheter and ostomy referrals online.
Download Referral Forms
Prefer to send your patient referrals to 180 Medical by fax or secure email? Download the order forms you need here.
Refer Online with E-Script
E-Script offers a secure, easy way to refer your patients for their catheters or ostomy supplies to 180 Medical. It's a simple sign-up for your entire facility.
With 180 Medical E-Script for clinicians and healthcare providers, your office can:
- Manage all your catheter or ostomy patient referrals and renewals in one secure, HIPAA-compliant platform
- Quickly sign orders and renewals with your stored e-signature
- Stay up-to-date on your referrals and track your patient's first shipment
- Save time and paper by sending referrals digitally
- Receive an email confirmation for each submitted referral
Short on time and need to send a referral without logging in?
180 Medical offers a Quick Referral option with E-Script, allowing you to securely submit the information needed to start the referral process.
Why Use E-Script for Patient Referrals?
Hear from our team how E-Script can help simplify referrals and renewals for your office.
Email or Fax Your Referral Orders Securely
You can also securely email or fax a completed catheter or ostomy referral order form to refer your patients to 180 Medical.
Download the form you need using the links below or in the side menu, fill out the info, then send it to 180 Medical by fax at (888) 718-0633 or by email at referrals@180medical.com.
Our team will follow up within 1 business day to confirm receipt.
To help us process the referral more quickly, you may also include your patient's prescription or written order, supporting medical documentation or progress notes, insurance information, and any other relevant records.
Need help determining what documentation to send?
Visit our Referral Documentation & Insurance Guide for more details on which records and information may be required for your referrals. Plus, get answers to quick questions.
Parachute Health Referrals for Catheter and Ostomy Patients
180 Medical also accepts referrals through Parachute Health.
If your office already uses Parachute, you can submit catheter and ostomy supply orders through guided ordering, communicate with 180 Medical, and view patient order status.
What Happens After You Refer a Patient to 180 Medical?
Once we receive your referral, our team takes it from there and keeps the process moving. It's our goal to fulfill your patients' supply needs as quickly and efficiently as we can while keeping you in the loop if any other documentation or authorization is needed.
We review the referral.
Our specialized team starts reviewing your patient referral, including the prescription or standard written order, supporting medical documentation, and insurance information provided.
We check your patient's coverage and verify any requirements.
Our insurance specialists verify insurance information, check any applicable guidelines, and find out if any additional documentation is required.
If something is missing, we'll work with your office to help complete the referral.
We connect with your patient.
A 180 Medical specialist reaches out to your patient to discuss their supply needs, help with product options when needed, answer their questions, and guide them through understanding how their insurance will cover the prescribed supplies they need.
If they need help with learning how to use their catheters or understand how to care for and change their ostomy pouching systems, we're here for that, too. Plus, we offer helpful online patient education, including printable instructions and step-by-step videos.
We support them beyond the first order.
Our team follows up after the first order or their shipment of samples (when applicable) to ensure they're satisfied and understand how to use their products.
And your patient won't be left wondering what comes next.
We make it easy to confirm and manage ongoing orders through convenient reorder options, while our team is here to help when your patients have questions or need support with changing product needs, billing, insurance updates, and more.
When you refer a patient to a supplier, you want to know they're in good hands.
See how 180 Medical's specialists support your patients from the first referral and order to our ongoing service for as long as we're needed.
Patient Referral FAQs
Have more questions about how to refer a patient to 180 Medical or what should be included with your referral? Here are a few quick answers to get you started.
Have more questions?
Our Help Center has answers to lots of topics like product sampling, brands and supplies available at 180 Medical, patient education, and our services.
TrustScore 4.9 · 14,501 reviews