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Home > Become A Member

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New to Med-Health Medical Supplies?
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All potential customers, please take a minute to print and complete the following form to initiate the New Customer Process. If you have questions or need assistance in anyway, please do not hesitate to contact the Med-Health Client Services Department by calling 1-866-930-6720, or by submitting an email via the Contact Us page.
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Forms:
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- Customer Credit Application - please print, complete, and submit this credit application. To submit the credit application, please fax it to the number provided on the application. You will then be contacted by our Client Services team.
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