referral forms & more information

FOR PROVIDERS

Access hassle-free RA Fischer referral forms to streamline patient treatment solutions. Personalized support for patients' treatment journey.

About RA Fischer Co.: As a family-owned business for over 75-years, we've earned global trust as a go-to provider for medical professionals. Our iontophoresis device redefines safety and efficacy, while our urology supplies set the bar high with DEHP/DINP and BPA-free materials. Discover why we're different — experience it for yourself.

Elevating home healthcare by providing safer, easier, and more-effective solutions.

Our Mission

Better care, broader understanding, and boundless possibilities for patients.

Our Vision

working with ra fischer

referral forms

Use our hassle-free provider referral forms to fast-track your patients toward customized treatment solutions. It's the straightforward way to offer exceptional care.

the fischer

PUREWICK™

SINGLE-USE CATHETERS

the fischer

hyperhidrosis

PUREWICK™

SINGLE-USE CATHETERS

hyperhidrosis

learn about the science

hyperhidrosis & iontophoresis

Understand the science behind hyperhidrosis and iontophoresis for effective treatment.
Explore the linked studies below to delve deeper into the scientific research supporting the efficacy of iontophoresis in managing hyperhidrosis.

hyperhidrosis

iontophoresis

Askoneof our treatment specialists!

let's talk

contact form

Fill out this HIPAA-compliant form, and you're granting us permission to contact you through phone, email, or text.

First Name

Last Name

Office/Clinic Name

Phone Number

Are you looking to order informational documents for your office?

Yes No

Interested in:

Iontophoresis Urology Supplies Other

How can we help you today?

We’re HIPAA compliant. Submitting this form gives us permission to contact your patient’s insurance carrier to check into their benefits and eligibility on their behalf.

want to refer a patient?

frequently asked questions

Patients have their own dedicated Treatment Specialist to navigate their treatment journey.

How do I refer a patient?

Simply fill out our paperwork and send it our way via fax at 818-775-2941. We’re on standby to get things rolling and ensure your patients get the care they need!

Do you work with insurance companies?

Absolutely! We jump through the hoops of handling prior-authorizations and submitting claims for those patients who fit the bill. We’re here to make the insurance dealings a breeze for you and your patients!

Do you have educational materials I can give out to patients?

You bet! Chat with one of our awesome Treatment Specialists, and we'll plug you into our referral network. We’ve got brochures, postcards, and a treasure trove of educational goodies to make the transition for your patients smooth.

What’s the next step after I send the paperwork your way?

Once we receive your paperwork, we assign a dedicated Treatment Specialist to your patient, taking the reins from there. They’ll navigate through insurance coverages, answer all the nitty-gritty questions, and be the guiding light providing continuous treatment support. We’re all about ensuring seamless and quality care for your patients!

Is it possible for me to order a Fischer iontophoresis device for use in my clinic?

Absolutely, yes! The Fischer is of hospital-grade caliber, and it’s been a hit with many dermatology clinics offering in-clinic sessions. It’s a wonderful way for patients to test drive the device before they decide to bring one home for personal use. It's all about providing options and convenience to the providers and the patients.

Do you work with insurance companies?

Absolutely! We jump through the hoops of handling prior-authorizations and submitting claims for those patients who meet eligibility. We’re here to make the insurance dealings a breeze for you and your members!

What’s the next step after I refer a member?

Once we receive the paperwork, we assign your member to a dedicated Treatment Specialist. They’ll navigate through insurance coverages, answer all the technical questions, and provide continuous treatment support. We’re all about ensuring seamless and quality care for your members!

What brands of catheters do you carry?

We proudly offer a variety of brands including Cure, Convatec, GentleCath, Purewick, BD, and Bard, to cater to diverse needs and preferences.

How do I refer a patient?

Simply fill out our paperwork and send it our way via fax at 818-775-2941. We’re on standby to get things rolling and ensure your patients get the care they need!

Do you work with insurance companies?

Absolutely! We file prior-authorizations and submit claims for those patients who are eligible. We’re here to make the insurance dealings a breeze for you and your patients!

Do you have educational materials I can give out to patients?

What’s the next step after I send the paperwork your way?

How do I refer a patient?

Simply fill out our paperwork and send it our way via fax at 818-775-2941. We’re on standby to get things rolling and ensure your patients get the care they need!

Do you work with insurance companies?

Do you work with Medicare?

Yes, indeed! We work closely with Medicare to ensure your patients receive the necessary care without any hassles.

Do you have educational materials I can give out to patients?

What’s the next step after I send the paperwork your way?

Do you have free samples for patients?

We usually start new patients with our 3-Day Free Sample Pack so they can explore multiple styles and sizes. They get to try out 12-catheters to find their perfect fit!

Can I order free samples for my clinic?

Certainly! Just let us know your preferences, and we’ll be delighted to include you in our referral list. We’re all about making things convenient for you!

What brands do you carry?

We proudly offer a variety of brands including Cure, Convatec, GentleCath, Purewick, BD, and Bard, to cater to diverse needs and preferences.

Do you work with the VA?

Absolutely! However, it’s important to note that each VA has its distinct process. To jumpstart the coordination and to enlist RA Fischer to your provider list, please get in touch with Jessica in our insurance department at jessica@rafischer.com. She's here to navigate you through the unique intricacies of each VA!

How do I place an order?

Please fax your purchase order to (818) 775-2941. Don't forget to mention which areas the patient is treating. We’re on standby to process your order swiftly!

Is The Fischer effective for treating secondary hyperhidrosis resulting from wearing a prosthetic?

Absolutely! If you have any questions or need advice, our Treatment Specialists are just a call or email away. We're here to address your concerns and provide the necessary support and information.

Do you work with insurance companies?

Do you work with Tricare?

Yes, we do! We work directly with Tricare and various other insurance providers to ensure cost coverages for patients, making the process smooth and hassle-free for everyone involved!

Do you have educational materials I can give out to patients?

What’s the next step after I send the paperwork your way?

Do you have free samples for patients?

We usually start new patients with our 3-Day Free Sample Pack so they can explore multiple styles and sizes. They get to try out 12-catheters to find their perfect fit!

Can I order free samples for my clinic?

Certainly! Just let us know your preferences, and we’ll be delighted to include you in our referral list. We’re all about making things convenient for you!

What brands do you carry?

We proudly offer a variety of brands including Cure, Convatec, GentleCath, Purewick, BD, and Bard, to cater to diverse needs and preferences.