Register Here to Receive an Application

Please complete the contact form below to begin the process of setting up your account today.

In this registration form, you'll be asked to provide minimal information about your practice. Further documentation (e.g. licensing and provider/pharmacist information) will be needed to verify your eligibility to purchase from Salus Medical LLC. Account verification usually takes 24-48 hours, excluding holidays and weekends.

A Salus Medical representative will contact you shortly to help complete your application.

If you have any questions about your registration, please contact our customer service team at 888.566.3778.