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Caring For Your Patients with Hygeia

Our form page is password protected, to gain access please contact a Hygeia staff member at:


You may refer your patients to Hygeia Medical Medical Supplies and Services, Inc. by phone, fax, or email. Make sure you fill out all the information to the best of your knowledge and do not leave any questions unanswered as this could delay the order. In order for us to expedite and ensure accuracy on orders, please take the following steps:

1. Fill out the required forms


  • Print and fill out the Hygeia Intake Form





  • *In addition, fill out the Switch Of Provider Form if your patient is switching from another Durable Medical Supplier to Hygeia Medical Supplies and Services, Inc.

2. Indicate what type of equipment or supplies you are ordering for your patient


  • Print and fill out this order sheet





3. Mail, e-mail or fax us the filled out forms


Phone: 303-758-9413

Toll Free: 1-877-749- 4342

Fax: 303-758-9062

747 Sheridan Blvd. Unit 3C, Lakewood, CO 80214

Please contact us with any questions regarding equipment and supplies, deposits, monthly payments and other policies.

If you need to make any changes to a patient's monthly order please let us know as soon as possible, this allows us time to alter and prepare the order.

Thank You For Choosing Hygeia! We Would Like To Hear From You

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