If you are new to this site, set up your Facility:New Facilities - Create Account
Submit patient referral as guest:Quick Referral
Thank you for the opportunity to help your patients with their catheter, ostomy, and incontinence needs. To start the referral process, please login or create an account on this page.
We know your patients who use medical supplies need more than just another DME company. They need a company that specializes in these products and provides personalized service, education, and compassion all with integrity. These are just a few advantages of working with us for your patients’ supply needs.
We appreciate your referrals, and confidence in 180 Medical. We are continuously striving to exceed your expectations.
The 180 Medical Team
MIPS: 180 Medical provides a condition-specific chronic disease self-management support program for all patient referrals.
This E-Script portal expressly is for use by physicians, nurses and other referring clinicians of 180 Medical. Please do not share any login credentials with other parties inside or outside of your organization. We are committed to protect the information you provide, just as we protect it when you provide it to us over the phone, via fax, in person or through the mail. We subscribe to the HIPAA Privacy Practices that cover "protected health information" under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA").
This Portal has implemented safeguards to protect confidential data and protected health information. In accordance with the HIPAA security rule, all form data is encrypted, user authentication is required, and proper audit controls are in place. By registering and logging-in, a user acknowledges they are authorized to handle patient information, they will do so with proper responsibility in following their medical practice's information security and privacy policies, and they will uphold the confidentiality of any and all patient information. End users are also required to adhere to the Portal terms of service.