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.
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

Screenshot for cover image of RA Fischer's iontophoresis coverage packet

Iontophoresis Insurance & Physician Packet

Packet for physicians to complete for patients wishing to file for insurance coverage of the Fischer iontophoresis device.

PUREWICK™

PureWick™ Authorization Form

Authorization form for the PureWick™ Urine Collection System.

SINGLE-USE CATHETERS

Screenshot for cover image of RA Fischer's Urology coverage packet

Catheters Insurance & Physician Packet

Authorization form for RA Fischer Urology Supplies to be filled out by a licensed healthcare practitioner. Not for PureWick™.

the fischer

Screenshot for cover image of RA Fischer's iontophoresis coverage packet

Iontophoresis Insurance & Physician Packet

Packet for physicians to complete for patients wishing to file for insurance coverage of the Fischer iontophoresis device.

the fischer

LETTER OF MEDICAL NECESSITY [extended]

Our extended medical necessity letter provides a detailed rationale for insurance coverage of an iontophoresis device, highlighting its importance in treating hyperhidrosis effectively.

hyperhidrosis

Screenshot for cover image of RA Fischer's Back-to-School letter

Back-to-School Letter

A letter for students to take to school that helps explains their symptoms to teachers and faculty.

PUREWICK™

PureWick™ Authorization Form

Authorization form for the PureWick™ Urine Collection System.

SINGLE-USE CATHETERS

Screenshot for cover image of RA Fischer's Urology coverage packet

Catheters Insurance & Physician Packet

Authorization form for RA Fischer Urology Supplies to be filled out by a licensed healthcare practitioner. Not for PureWick™.

hyperhidrosis

Screenshot for cover image of a study titled "Palmar and plantar hyperhidrosis: a practical management algorithm"

Palmar and Plantar Hyperhidrosis Practical Management

Benohanian, Boudjikanian & Paylan [2007]

hyperhidrosis

hyperhidrosis

hyperhidrosis

Screenshot for cover image of RA Fischer's Back-to-School letter

Back-to-School Letter

A letter for students to take to school that helps explains their symptoms to teachers and faculty.

hyperhidrosis

Small screenshot that serves as a cover image for the RA Fischer Co.'s "All About Hyperhidrosis " - A downloadable pdf poster for doctor's offices that educates about Hyperhidrosis and treatment options. PDF in color

Poster - All About Hyperhidrosis

A poster for your office that explains hyperhidrosis for patients.

hyperhidrosis

Small screenshot that serves as a cover image for the RA Fischer Co.'s "Treatment Options for Excessive Sweating" - A downloadable pdf poster for doctor's offices that educates about Hyperhidrosis and treatment options

Poster - TREATMENTS FOR HYPERHIDROSIS

A poster for your office with the different options for treating excessive sweating.

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
Picture of four younger patients smiling and looking at their mobile devices. [RA fischer 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.
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?
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!
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 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?
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!
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?
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 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?
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!
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.
online

our reputation

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Verified & rated 4.9/5 stars
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USA-Based
Moorpark, California
Blue and orange logo for the International Hyperhidrosis Society (IHHS). "Know Sweat." Sweathelp.org. RA Fischer is a supporter of the IHHS.
Giving Back
Non-profit involvement

best patient experiences