Clicking the button will send you to an independent, licensed provider's website. Fisher Wallace does not compensate providers for authorizations, nor does it receive a portion of their $18 fee to process an authorization.
You are qualified to use the Fisher Wallace Stimulator®
Next Step to purchase a device:
The FDA requires that a licensed healthcare provider authorize your purchase. Click the Provider Referral button below if you would like an independent provider to review your questionnaire and email authorization to you and Fisher Wallace. Alternatively, you may have your own provider email or fax Fisher Wallace a prescription.