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To order a JAS device, just follow these simple steps:
A new PDF version of the order form can be downloaded to your hard drive or loaded through your web browser that has the capability to email the form when completed. This PDF has form data tabs built in, so there is no need to print it out and mail or fax later. Complete it online or at your covenience later by opening this downloaded file. This PDF is compatible with Acrobat Reader 5, but version 8 or higher is recommended. You can get the latest version of Acrobat Reader by clicking the link below. Download the interactive/emailable here.... Order Form PDF.
E-mail orders to orders@jointactivesystems.com Include a physician’s prescription or
completed statement of medical necessity form (download below) if
available. A complete prescription
should include the following: patient’s name, date of birth, diagnosis,
device ordered, and duration of use (e.g. 1 to 5 months).
Fax documents to 217-347-3384.
Statement of Medical Necessity: PDF, MicrosoftWord
Order Form (for JAS Knee, Ankle, Shoulder, Elbow, Finger, Wrist, and Pronation/Supination):
Microsoft Word
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