CLINICAL COLLABORATION & DME COORDINATION

Physician & Healthcare Provider Referral Portal

KD Healthcare Solutions partners with physicians, case managers, discharge planners, and clinical teams to coordinate essential durable medical equipment and homecare supplies for their patients. Our specialized intake team reviews all referrals, verifies insurer-specific coverage criteria, and coordinates directly with both provider offices and patients to manage documentation, clinical requirements, and prior authorizations from receipt to delivery.

Standard Written Order (SWO) Documentation

When ordering DME or medical supplies and a product-specific order form is not available, please utilize our General DME & Medical Supplies Standard Written Order form.


Download General DME & Medical Supplies Order Form (PDF)

Direct Prescription & Referral Fax Intake

Completed and signed orders, along with supporting clinical documentation, should be faxed directly to our intake office:

Dedicated Intake Fax: 937-490-8251

(Monitored continuously for new clinical orders and referrals)

Information Needed with Referrals

  • Signed prescription/order
  • Patient demographics/face sheet
  • Insurance information or copy of insurance card, when available
  • Supporting clinical documentation/chart notes, as applicable to the equipment or supplies ordered

Upon receipt of a referral, the KD Healthcare Solutions team reviews the submitted documentation, verifies applicable insurance guidelines and medical necessity requirements, and coordinates directly with the prescribing provider and patient regarding any additional records, authorizations, or equipment-specific requirements needed to complete delivery.

Important Compliance Notice:
This online inquiry form is strictly for general, non-PHI provider inquiries (e.g., equipment availability, insurance coverage guidelines, or general referral questions). Please do not submit patient names, dates of birth, medical records, or prescriptions through this web form. All patient-specific prescriptions, clinical documentation, and protected health information (PHI) must be transmitted via our secure fax line at (937) 490-8251 or through our secure electronic transmission channels.

Healthcare Provider General Inquiry Form