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Comfit
Prescription Form
Complete your prescription form in three simple steps. Download the form, have your doctor complete it, and send it to us.
Download the Prescription Form
Click the download button to save the PDF prescription form to your device.
Save the PDF or print it to bring to your doctor
How to Complete Your Prescription Form
Follow these three simple steps to get your medical support products.
Download the Prescription Form
Click the download button to save the PDF to your device.
- Save to your device
- Print or send digitally
Have Your Doctor Complete the Form
Print the form or send it to your doctor's office.
- Doctor fills required sections
- Doctor signs and dates
Send the Completed Form to Us
Once filled out and signed by your doctor, email it to us.
Email to:
info@comfitinc.comA clear photo or scanned copy is acceptable.
Send Your Prescription Form
Choose the most convenient way to submit your completed prescription form
Fax
Send your completed form via fax
223 Lee Ave, Brooklyn, NY 11206
Important Information
Please review these important details before placing your order
What You'll Need
Gather these items before placing your order
Prescription
Doctor's prescription or our completed order form
Insurance
Insurance information and coverage details
Business Hours
Sunday - Thursday
11:00 AM - 6:00 PM
Friday
10:00 AM - 1:00 PM
Saturday
Closed
Questions About Ordering?
Our team is here to help guide you through the ordering process and answer any questions you may have.