Product Request Forms

Purchasing a breast pump?

Ridgeview Home Medical Equipment can assist you with purchasing and billing your insurance for your breast pump. The following document includes information to review the breast pump products available through Ridgeview from Medela and Spectra, as well as a prescription document for billing purposes. Please print and bring a copy of this document to your next OB/GYN visit for the necessary physician signature and Ridgeview will help you complete the process for purchasing your breast pump.

Breast Pump Information

Polar Care Wave Cold Compression System

Cold compression therapy is a proven method to assist in your recovery time from injuries or surgical procedures. Cold compression may also reduce the need for pain medication to manage chronic conditions. Whether it’s your back, knee, or ankle giving you trouble, we have the unit and sleeves to aid in your recovery and management.

Polar Care Wave Pricing and Prescription Form