For Domestic U.S. Sales

1. Obtain Standard Written Order / Prescription

A complete prescription should include the following: patient’s name, date of birth, diagnosis codes, device ordered, duration of use (e.g. 1 to 5 months), and physician’s signature.  JAS may need to request additional documentation based on the patient’s insurance requirements.

Standard Written Order

2. Doctor’s Notes and Physical/Occupational Therapy Notes

Doctor’s Notes: Op Note and 2-3 of the most recent office visit notes

PT/OT Notes: Initial Evaluation and 2-3 of the most recent progress notes.

3. Submit Patient Information or Demo Sheet and Measurement Forms

Submitting the measurements with the initial order expedites the order process.

Patient Information Form - All orders require a patient information form to be submitted.

Measurement Forms - Fill out the appropriate measurement form.

4. Send documents to JAS

For new orders, send prescription, chart notes, patient information form, measurement form and a copy of front and back of patient’s insurance card to FAX: 217-347-3384 or email orders@jointactivesystems.com Please allow 24 hours for order entry.  If you do not receive an order confirmation within 48 hours, please contact us at 800-879-0117.

If you’re sending in additional documents to complete an existing order, email them to missinginfo@jointactivesystems.com.

Next Steps

JAS will obtain benefits, contact the patient, and handle authorization and billing procedures.  Your local JAS representative will contact you or the patient to arrange for a fitting appointment.  

In order to comply with state or insurance regulations, JAS may need to route orders through a local licensed specialist.  If you have any questions or would like to speak to a JAS representative call our office, toll-free: 800-879-0117

For International Sales Outside the U.S.

Contact JAS International Sales Department

For product pricing and assistance in placing an order for JAS GL and JAS ADVANCE Dynamic products from outside of the United States, contact our international sales department at email: internationalsales@jointactivesystems.com or call: 217-342-3412

The JAS international sales department will either direct you to a local distributor or guide you through the rest of the order process.

For your convenience, JAS GL and JAS ADVANCE DYNAMIC ROM order forms are available below. The PDF versions have form fields that can be filled out electronically by tabbing through the documents.

If you have any questions or need additional help with an international order, contact our international sales department by emailing internationalsales@jointactivesystems.com or calling 217-342-3412