How to become a customer:

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There are two ways to set up an account with us and both are very simple.

1) Net-30 (Invoice) – We require a one-page form (Download Fillable Form) to be filled out to the best of your ability.  We can typically get new facilities set up as a customer and product shipped on the same day that we receive the form back. Please email (or fax) the form to info@urgentsurgerysolutions.com or the representative you are in contact with once it’s completed.

2) Credit Card –  When setting up via credit card, there is a 1.5% processing fee for Visa or Mastercard and 3.5% for American Express.  Please fill out this one-page credit card customer form (Download Fillable Form).  If you prefer to phone-in the credit card information rather than send it via the form, call your representative or 480-478-6450 and ask for sales.  We only charge the credit card after product has shipped and then email the receipt to you. If you decide later that you would rather switch from credit card to Net-30 terms, you can email accounting@urgentsurgerysolutions.com or let your representative know.

We will require a copy of one license.  The license can be either a facility license, pharmacy license, MD license, or a DEA license.

If your location requires terms other than our default Net-30, we can typically make adjustments.

*Note – If you are a part of a health system or corporation, or have payment history with related locations, you might be able to bypass filling out the Net-30 paperwork – especially if we already bill your corporate accounting.