PROVIDER REFERRALS
Refer a patient for medical equipment or supplies
Request a secure intake link to upload a prescription and supporting documents, or complete our online referral form. You can also download a blank form to fill out before uploading.
Protect patient privacy. Do not send patient names, prescriptions, medical records, or other personal information through our customer-service email or the website’s general contact form. Use the secure referral portal.
HOW IT WORKS
From invitation to review
- Request an invitation using your business contact information.
- KAI reviews the request and emails you a secure, reusable link.
- Open that link and verify your email.
- Upload your prescription or completed form, or use the secure online referral form.
- KAI reviews the submission and communicates whether the order is accepted.
Submission is a request for review and does not guarantee acceptance, insurance coverage, or fulfillment.
Reuse the link in your KAI invitation email. Bookmark it for future referrals. Submit each patient request separately.
Preparing your referral
Download the blank form, complete it electronically or print it, and save your completed copy on your device. Do not email the completed form. Return it through your secure invitation link.
Have the applicable prescription and supporting documents ready. Enter patient information only after opening your secure link and verifying your email.
This public page does not collect patient information. Providers do not need a Microsoft account to request an invitation.
Questions before you refer?
Call our Medical Supply line for coordination or help with the next step. Keep patient records in the secure referral portal.
Call 314-584-3497KAI VETERANS MEDICAL SUPPLY
Personal service.
Practical support.
KAI IT Solutions LLC DBA KAI Veterans Medical Supply
314-584-3497
customerservice.vetmedsupply@kaiitsolutions.com
St. Louis area


SBA business ownership certifications of KAI IT Solutions LLC—not healthcare accreditation or insurance-program enrollment.
Protect patient privacy. Do not send patient names, prescriptions, medical records, or other personal information through our customer-service email or the website’s general contact form. Use the secure referral portal.
