Download and print an order form (PDF format). If you are ordering for more than one individual, please use two separate medical order forms.
Mail your original prescription(s) to us.
PO BOX 520
800-15355 24th Ave
Download Order Form
If clicking the "Download order form" button does not work, you may need to install Adobe Reader on your computer.
To do so, click "Get Adobe Reader" and follow the installation instructions. You may call us toll free at 1-800-891-0844 if you need further assistance.