DME Submission Form

If you would like OrthoIndy to consider one of your products for distribution in our clinics and DME store, please fill out the following form. We will review your information and contact you if interested. 

Reviews are made on a quarterly basis, and you will be contacted if further evaluation or information is needed. Please do not contact materials management or clinic personnel on status of a submission.  We will contact you if additional information is needed.

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