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Leave your name and number. Our team can help you take the next step with medical equipment and supplies.
- 01
Send your contact details
A short form, with no medical paperwork to upload.
- 02
Talk with the Medrax team
Ask about an item, documentation or the ordering process.
- 03
Understand your next step
Discuss availability and expected costs before confirming an order.
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What can I discuss with the team?
Ask about equipment, supplies, product details, the steps involved in an order or how to arrange a benefits review. Have a manufacturer name and item number nearby if you already know what you need.
Does this form check my insurance or place an order?
No. It asks Medrax to contact you. Availability, documentation, benefits and costs need a separate review. Medrax operates as an out-of-network supplier.
Can I send a prescription or insurance card here?
This form only accepts a name, phone number and contact consent. The team can explain the appropriate route for any documents during your conversation.
Can I request a callback for someone I help?
Use your own name and phone number. The team can discuss the appropriate permissions before sharing another person’s private information.