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For wound-care + surgical practices · Arizona

Wound care DME referrals in Arizona

Refer for surgical & advanced wound dressings — documentation handled. Arizona is our home market — we're live with Medicare and AHCCCS (Arizona Medicaid), with same-day setup available in metro Phoenix.

Send your post-surgical and chronic-wound patients and we ship the exact dressings your care plan calls for, on the change cadence you set — and we keep the documentation current as the wound heals so coverage never lapses mid-treatment.

What we take from wound care

  • Foams, hydrocolloids, alginates, hydrogels
  • Composite + film dressings
  • Antimicrobial / silver dressings
  • Bordered + securement supplies

What Medicare needs

  • Wound type, location, size, number of wounds, and drainage level in the note.
  • That the wound is surgically created or debrided (for surgical-dressing coverage).
  • The dressing type and the change frequency.
  • A standard written order — we refresh documentation as the wound progresses.

HCPCS: A6021 · A6196 · A6212 · A6234 · A6412. Send the order — we assemble the rest and chase missing signatures.

Refer a patient

Submit a wound care referral

Pre-filled for wound care in Arizona. Add the patient and your NPI and you're done — we verify benefits and take it from there. No login required.

Prescribing physician

The clinician who wrote the order. At least one contact method is required so we can chase missing documentation.

Patient

Name is required. Everything else helps speed up triage but is optional — leave blank if you'll send a face sheet.

Insurance

Helps us verify benefits before reaching out to the patient. Optional — we'll capture this on the verification call if you skip.

Equipment & diagnosis

Tell us what you're prescribing. Equipment category lets us route to the right intake specialist immediately.

Comma or newline separated. We'll match these against the Medicare LCD for the equipment category.

Additional notes

Anything else our intake team should know — clinical context, urgency, special instructions.

You'll get a reference number on the next screen. Documentation (Rx, face sheet, etc.) can be faxed or emailed to us — instructions on the confirmation page.

Three ways to send a referral

Online form

Use the pre-filled form above — about 60 seconds. You get a reference number on submit.

Fax to 855-365-3159

Fax the order + face sheet to our referral line. It lands in our intake queue automatically — no portal.

e-Prescribe / EHR

Send DME orders electronically through your EHR's DME workflow. Ask us to set up the connection.

Benefits verified first

We run the eligibility check before anything ships — no surprise denials sent back to your office.

Documentation handled

We assemble the Medicare-required documentation chain and chase missing signatures so your staff doesn't.

Shipped + resupplied

We deliver to the patient and manage compliant recurring resupply — you refer once.

For referring providers

Wound care referrals in Arizona — common questions

What if the dressing plan changes as the wound heals?+

Just send the update — we re-document and adjust the shipment. Keeping the LCD documentation current as drainage and size change is exactly what we take off your team.

Do you carry the advanced dressings, not just gauze?+

Yes — foams, alginates, hydrocolloids, collagens, and antimicrobials, matched to the wound stage rather than pulled from a generic bin.

Do you accept wound care DME referrals in Arizona?+

Yes. Affinity Medical Services is an enrolled Medicare DMEPOS supplier and we take wound care referrals across Arizona. Arizona is our home market — we're live with Medicare and AHCCCS (Arizona Medicaid), with same-day setup available in metro Phoenix. Submit the order above or fax it to 855-365-3159 and we verify benefits before anything ships.

Have a question?

Three fields, real payer data, plain-English answer. Or talk to a person — we're fast.