Online Referral

Make a Referral Easily, Quickly and Securely Online with Shan Medical

More secure than PDFs or faxes, Shan Medical’s easy-to-use online referral forms allow you to submit referrals quickly and directly. Your form will be sent directly to us through a locked connection, and we’ll work with you right away to continue your order.

Simply fill out your Online Referral Form below or call Shan Medical at (586) 268-4100 with any questions today!

Click for Oxygen Form
Click for Nebulizers Form
Click for Wheelchair Form
Click for Bed Form
Click for D.M.E Form
Click for CPAP Form
Click for Compression Stockings Form

Contact Shan Medical Equipment

Please contact us at (586) 268-4100 (Sterling Heights), (800) 404-7426 (Detroit) or (313) 843-3006 (Dearborn Heights) with any questions!

Sterling Heights
Dearborn Heights