If your physician or physical therapist has sent us a prescription for a Nexwave or Inwave, please complete the form below and submit through fax (800)495-6695 or email info@zynex.com. Once we’ve received a Direct ship form that is signed and includes current and complete Health insurance information we will ship the unit straight to your door. Please be sure the address you provide accepts UPS shipments.

Click here for the DIRECT SHIP FORM in English. (Adobe reader required)

Click here for the DIRECT SHIP FORM in Spanish. (Adobe reader required)