Re-Seller Qualification Application

It is important for us to develop solid relationships with established and respected health care re-sellers - especially since we want to limit the number of re-sellers who serve in a particular area. We offer several programs which can expand your business while ensuring we maintain our quality of services and support. Our ultimate customer is a physician who needs the most experience support for our services and products. Any re-seller relationship will be treated as a partnership to the benefit of our valued customers. Please take a few moments to fill out this application so that we can assess your strengths.

Application (PDF Format)