Order Submitted

Thank you for submitting your order

To process your order your doctor will need to complete the doctor’s authorization form. The Men’s Liberty Team will send the form to your doctor within the next business day. Please call your doctor’s office and let them know that you would like them to complete the form. If you would like to help expedite the process, please bring or email this form to your doctor and ask them to fax it back to Men’s Liberty.

Fax: 888-920-9370

Email: CustomerService@MensLiberty.com

Click here to download the doctor's authorization form

Click the ad to view knee and back brace information

Men’s Liberty Starter Pack

Men's Liberty External Catheter