You Are Qualified to Use
the Fisher Wallace Stimulator®
Our Authorization Requirement
The FDA requires that we receive authorization from a licensed healthcare provider before shipping your device.
You may obtain rapid authorization from an independent telemedicine provider online for $18 by clicking the button below.
The provider will ask a few simple questions and email you and Fisher Wallace the authorization.
Use the coupon code AUTH when purchasing our device to receive an $18 discount - this effectively makes the telemedicine authorization free for patients.
Alternatively, you may download this form to present to your own doctor when requesting authorization.
Fisher Wallace does not compensate providers for authorizations, nor does it receive any portion of their fee.