Would you rather fax your order to us? Or perhaps you practice in a jurisdiction that isn’t served by one of our international distributors? Want to organize your purchase on paper before placing your order?

Download our two-page order form.

Like our website, our order form is organized by categories such as brochures, report documents, posters and our other product lines.

Take your time as you select the products that will best simplify your patient communications and that fit within your budget.

Be sure to include any volume discounts by purchasing four or more of the same item.

Compute ground shipping costs by FedEx and Colorado State sales tax if applicable.

Then either mail your order form to our address below, or fax it to (719) 488-6669.

Patient Media Order Form