Prescription Upload Form
Use the form below to upload a copy of your prescription safely and securely. Once we have your prescription on file we will be able to fill any new prescription order immediately. If you need a prescription form to provide your doctor, you can click here to download one.
Switch to Regional Home Care
Switching to Regional Home Care for sleep therapy and diabetes care is simple. Just fill out a Patient Transfer Request Form, give us a call at 800-229-6267, or have your physician send us your prescription & recent qualifying documents.