How to Order

Patient Registration Form:

Download a patient registration form, can be completed prior to your visit

Diabetic Testing Supplies:

Download order form for testing supplies to be completed by the physician

Therapeutic Shoes for Diabetics:

Download order form for therapeutic shoes to be completed by the physician

Canes and Walkers:

Download order form for canes and walkers to be completed by the physician

Important Information for Patients

• Rittenhouse Medical Supply’s Patient Education and Information Booklet
• Diabetes Testing Log
• Notice of Privacy Practices
• CMS DMEPOS Supplier Standards
• Patient Bill of Rights

Information About Your Equipment and/or Supplies

• Glucose Monitors
• Walkers
• Canes
• Compression Stockings
• Therapeutic Shoes For Diabetics