Providers · Forms & handouts

Forms, ordering guides and handouts

Everything to send a referral, order on Parachute, measure and size, and educate your patients.

Referral & Rx forms

WEB
Send a referral securely
Online portal — upload the Rx, notes and measurements.
PDF
Compression pump Rx form
For E0651 and E0652 pump referrals.
PDF
Garment Rx form — legs
Lower extremity compression garments.
PDF
Garment Rx form — arms
Upper extremity compression garments.
PDF
Fax cover sheet & documentation guide
Fax to 800-886-4201.
WEB
Patient consent
Secure online form for the patient to sign.

Ordering on Parachute Health

PPT
E0651 pump ordering guide
Step-by-step Parachute order for E0651.
PPT
E0652 pump ordering guide
Step-by-step Parachute order for E0652.
PDF
Garment ordering guide
Step-by-step Parachute order for garments.

Sizing & measuring

WEB
Measurement forms
Every brand's measuring and order forms.
WEB
Size charts & size guides
Juzo, medi, CircAid, JOBST, Sigvaris and L&R.
WEB
Compression guide
Strengths, styles and how to choose.

Clinical references & handouts

PRINT
Vein & wound clinic one-pager
Who to refer and how — print or save as PDF.
PRINT
Pump one-pager
The device we fit and the evidence — print or save as PDF.

For your patients

Pages and handouts to share so patients know what to expect.

For your staff

Training for your team and help with day-to-day orders.