How to Order SpinalQ

Documents Needed to Order the AlignMed SpinalQ Brace :

1. Letter of Medical Necessity/Script:  

Download form.
Please include height, weight, waist, and chest measurements.

2. Demographics/Face Sheet:

Patient's address, phone #, and date o birth.

3. Insurance Card:

Copy of the front and back of insurance card.

4. Chart Notes from your Doctor:

To back up your prescription.

5. RFA :

Work comp only.