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Starting Monday, 03/17/2025, credit card payments for orders and invoices will be temporarily unavailable. We are working to resolve the issue and apologize for the inconvenience. If you wish to place an order using a credit card, please reach out to our Customer Service team at customerservice@drivemedical.com or call 1-877-224-0946 for assistance. For payments with a credit card, please contact our AR Department at collectionshelpdesk@drivemedical.com.
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Connect with Sales

Step 1
Submit Your Interest:
Complete the form here to submit your request for information on becoming a Drive Medical partner. Our sales team will use the details you provide to begin your application. (Please note that the request for information on this page is nor our full credit application)

Step 2
Connect With Our Team:
A member of our sales team will be in touch within 24 hours to gather additional information and guide you through the next steps in the application process.

Step 3
Complete Your Account Application:
After your submission has been approved, our sales team will ask you to submit your completed credit application.

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Are you a consumer or a clinician?

This application form is exclusively for businesses seeking to establish an account with Drive Medical. We do not sell directly to individual customers. 

Please visit our

Find a Provider

page to locate an authorized Drive Medical provider near you.

For businesses interested in establishing an account, please proceed with the application.