If you would like to become a customer or to receive more information about Apex Medical Distributor, please follow the “New Accounts” link at the bottom of this page. Print out the form and fax it. Alternatively, use the "On-Line Form". You will be contacted within one business day. If you request an account be set up for your business, please also fax a copy of your current state issued license.

Download "New Account Printer friendly form "
Or fill out "New Account On-Line form "