This form takes about 5-7 minutes to complete, depending how much equipment you're ordering. Typically, online orders are processed about five times faster than faxed submissions, and, often times, orders submitted online are delivered the next day.

All information submitted through our secure online portal is HIPAA-compliant and encrypted using 256-bit SSL, the same encryption technology used by online banking systems. If you have more questions about the storage and transfer of PHI (patient health information), please feel free to give us a call or chat with us on our website.