Contact Us

New Patients

To Get Help with Diabetic Supplies:

• Complete our Online Application, which includes the Medical Authorization; OR
• Print and mail a Patient Application and Medical Authorization; OR
• Call us at   to provide your information over the phone.

To Get Help with Catheters Supplies:

• Complete our Online Application, which includes the Medical Authorization; OR
• Print and mail a Patient Application and Medical Authorization; OR
• Call us at   to provide your information over the phone.

 

Current Patients

To Reorder Supplies:

• Click Here to Reorder Diabetic Supplies
• Click Here to Reorder Catheter Supplies

To Make Changes to Your Information:

• Click Here