Submit A Prescription
UPLOAD A PRESCRIPTION
Use the secure form below to submit a prescription or supporting documentation.
Other Options
FAX
Our secure fax line
1.425.467.6661
LOCAL DROP-OFF
Stop by or arrange for your prescription to be dropped off at your local Bellevue Healthcare showroom.
If you are sending someone of your behalf, please be sure they provide your information to a Bellevue Healthcare team member.