Prescription and Order Form
The prescription devices offered by Matrix can only be sold to practitioners or to patients with a prescription. Please note, Matrix Therapy Products does not do insurance billing. After purchase, send your prescription form and invoice to your insurance company for possible reimbursement.
To complete your order of a prescription device, first download Matrix Therapy Products' Prescription Form:
Download Matrix Prescription Form
After filling out form and getting it signed by your practitioner, please mail to Matrix Therapy Products:
Matrix Therapy Products Corp.
23621 S. Upper Highland Rd.
Beavercreek, OR 97004
For fastest results, scan and send PDF to Matrix at: email@example.com. You may also fax your completed Prescription Form to Matrix. Please call (503) 632-7187 prior to faxing.