Submit Patient Files
FOR CLINICIAN USE ONLY. This page is designed exclusively for clinicians to easily submit patient paperwork for mobility and seating solutions. At Freedom Mobility Rehab, we understand the importance of a streamlined process to ensure your patients receive the best possible care and equipment.
Use this secure portal to upload prescriptions, evaluation forms, and any other relevant documentation directly to our team. Our Assistive Technology Professionals (ATPs) will review the submissions promptly and work closely with you to create tailored mobility solutions for your patients. Let us partner with you to deliver comfort, independence, and improved quality of life for those in your care.
HIPAA Compliance Notice
By submitting personal health information (PHI) using this form to Freedom Mobility Solutions through Medsender, I confirm that I have obtained a signed release form from the client/patient, authorizing the disclosure of their PHI. This submission is in compliance with HIPAA regulations to protect the privacy and security of the patient’s health information.
