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Www.coopermedical.com email: customerservice coopermedicalsupplies.com / Fax: 800-258-6025 Prescription for TENS Unit Date of Order: Patient Demographics: Name: Sex: DOB: Address: City: State: Zip:.

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Damage to Open WoundsIf TENS unit pads are placed on or too close to open wounds or damaged skin, the wound can become further irritated. The wound may also take longer to heal. Because of this, avoid placing electrode pads on or near damaged skin.

To get a prescription for electrotherapy, print out this Letter of Medical Necessity and make an appointment with your licensed health care provider. Your doctor may ask why you want to try electrotherapy, in which case you should be prepared to explain your interest in electrical stimulation for pain relief.

Do not use TENS if you have undiagnosed pain and a history of cancer in the last 5 years. Epilepsy. Do not apply electrodes to your head, neck or shoulders. The impulses could cause seizures.

Transcutaneous electrical nerve stimulators (TENS) units are considered medically necessary durable medical equipment (DME) when used as an adjunct or as an alternative to the use of drugs either in the following situations: An adjunct in the treatment of acute post-operative pain in the first 30 days after surgery.

Do not use TENS if you have undiagnosed pain and a history of cancer in the last 5 years. Epilepsy. Do not apply electrodes to your head, neck or shoulders. The impulses could cause seizures.

You can buy a TENS unit without a prescription. But, you may need documentation from your doctor to get your insurance to cover it.

The over-the-counter TENS unit sometimes referred to as an OTC TENS unit is a flexible device that can be used from home. Unlike a prescription TENS unit or an Rx TENS unit it does not need a professional's guidance to be safe for self-treatment.

Choose a TENS device based on pain location, pain intensity and lifestyle. Look for a TENS unit with a range of options to account for different levels of pain in larger and smaller parts of the body. Features to consider include: Body pain modes for arms, legs, lower back, shoulders and joints.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232