You Are Qualified to Use

the Fisher Wallace Stimulator®

Next Step:

Obtaining Authorization

Fisher Wallace must receive authorization from a licensed provider before shipping your device. You can obtain same-day purchase authorization from a licensed provider online for $18 and then receive an $18 discount when you purchase the Fisher Wallace Stimulator® by using the code AUTH at checkout.

Alternatively, you may download this form to present to your provider when requesting authorization.


Fisher Wallace does not compensate providers for authorizations, nor does it receive any portion of their fee.