On-Line Order Request 

Please list:  1. Your Name 2. Phone Number 3. Product of interest

A customer service rep will contact you within 24 hours.

sales@directmedinc.com

For insurance billing we will need additional information including:

Your Name, Address, Phone #, Social Security #, Name of Primary Insurance

Name of Secondary Insurance, Policy Numbers, Date of Birth & Prescription

DO NOT SEND PERSONAL INFORMATION, WE WILL CALL YOU.

OR

To buy on-line, click on our iMED link:

PLEASE FEEL FREE to call to speak with a live person:

1.800.828.1443

Thank you for choosing Direct Medical!

         Call us today!  1-800-828-1443                                                   HOME