Send a Patient Referral
We accept Medicare, Medi-Cal, and Kern Health Systems
Partner with us for your patients' DME, wound care, ostomy, catheter, and incontinence needs. We manage insurance verification, prior authorizations, medical documentation, and recurring orders so your clinical team can focus on patient care.
Have questions or need to contact us?
Phone: (661) 846-3120
Fax: (661) 843-6172
Email: referral@cvmsupplies.com
Three easy ways to submit a referral
01. Online Referral Form
Click here to access our quick online referral form and securely upload the patient’s face sheet and clinical notes. We’ll follow up with you to confirm receipt of your order.
02.Email or Fax
Submit your referral using one of our downloadable forms or your own office template. Simply attach the patient's face sheet and chart notes, then send via email or fax.
Email: referrals@cvmsupplies.com
Fax: (661) 843-6172
03. Via Parachute Health
We have teamed up with Parachute Health to streamline the ordering process. For more information or to set up an account, please visit
Referral Order Forms
Submit a referral via email to referral@cvmsupplies.com or fax to (661) 843-6172.
To use one of these forms, open or download a form, complete all fields, then print for the physician’s signature prior to faxing or emailing it to Central Valley Medical Supplies.
Submit a Patient Referral
This form is for healthcare professionals or case managers referring a new patient to CVMS for intake. For general questions or existing patients, please use this form or call us at (661) 846-3120.
Prefer to fax or email?
Reach our referral team at (661) 843-6172 or referral@cvmsupplies.com.