We understand your day is busy. That is why we have simplified the process to prescribe FDA-cleared home narrowband ultraviolet B (NB-UVB) phototherapy with multiple options that fit into existing workflows. You and your team can now order through EMA® (Electronic Medical Assistant by Modernizing Medicine®), Epic®, our quick-submission E-Form, or Fax Form.
Prescribe Phothera home phototherapy directly from the patient chart in EMA or Epic
Prescribe from the Chart–the rest is handled.
Order and manage your Phothera prescriptions right inside the EMR platform you already use. Neatly integrated into systems you already use in your practice, Phothera continues to make it even easier to prescribe home phototherapy for your patients.
Use our convenient and HIPAA-compliant e-form option to quickly prescribe.
A convenient, online digital form.
Phothera’s E-Form provides a fast, convenient, and HIPAA-compliant way to prescribe home phototherapy with a simple online submission. Our form streamlines the process while ensuring accuracy and efficiency for both providers and patients. Phothera contacts the patient directly and manages everything from there.
The Phothera fax form to simplify the home phototherapy prescription process
Simple faxable form.
Download the latest Phothera fax form and complete all information, digitally or handwritten, and simply fax this form, including the patient’s insurance card and chart notes to 216.765.0271 to submit the prescription.
The Phothera physician written order form covers the 100XL, 200, 600-3D, and all other home devices. For the fastest and most accurate workflow, it is recommended to complete the prescription through an EMR, like EMA or Epic, or our e-form.
Step-by-step process for prescribing home phototherapy
Step 1
Write a prescription for home NB-UVB phototherapy and specify the indication.
Step 2
Submit via EMA®, Epic®, or the Phothera E-Form — choose the method that works best for your practice.
Step 3
Phothera Cares handles prior authorization, claims, and appeals to support broader patient access.
Step 4
Eligible insured patients pay as little as $0*.
Step 5
Device shipped, free of charge, directly to the patient’s home.
Working with Phothera just got faster.
As part of our ongoing commitment to our prescribers, we have launched a new provider line for everything Phothera.
1-844-676-2882 (1-844-67-NBUVB)
- Orders, prior authorization, and shipping status
- Refills and treatment unlocks
- Insurance, coverage, and billing
- Device technical support
- Prescription forms and documentation
- Dosing questions and clinical guidance
- Account setup and operations
The new status tracker is now available, giving you, your staff, and your patients real-time visibility into where each prescription stands in the fulfillment process.
Important notice: The ClearLink Portal has been retired as of September 2026. Please use another option to prescribe at-home phototherapy for your patients.
Important safety note: a patient may experience mild, transient erythema during the course of treatment. Erythema can result in as little as 15 seconds of exposure, or approximately 200 millijoules of dose. Patients should stop treatment until the reddening resolves and communicate with their prescriber.
- It is recommended for patients to use lip balm and/or sunscreen with SPF ≥ 30 applied to non-treated areas.
- Do not use over skin eruptions
- The patient and anyone in view of the device must wear the provided UV blocking glasses or goggles designed to block 100% of all UVA and UVB light from the eye area when worn
- Do not remove protective eyewear, or any other protective equipment, during treatment
- All other people and pets should leave the area to avoid unwanted exposure to ultraviolet light
- If psoralens (photosensitizing treatment) are being used as part of the treatment, the eyes should be protected from exposure to ultraviolet (sunlight) for 24 hours after taking the treatment
- Patients should center their body between the lamps during treatment to avoid over exposure to isolated areas of the body
We are committed to supporting you — contact us for personalized assistance.
EMA is a registered trademarks of Modernizing Medicine, Inc. Epic is a registered trademarks of Epic Systems Corporation.