Contact Us
If you have any problems with this form, please call us at 800-945-0066.
Your name
Your E-mail address
Subject
What kind of Catheter do you need?
Are you on Medicare?
When is the best time to contact you?
Primary Phone Number:
Alternate Number:
Do you have any special circumstances?
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Thank you for your information, we'll contact you shortly!

* Deductibles and Co-Pays apply. Patient responsible for payments not paid by Medicare and/or Insurance. Up to 200 catheters per month for intermittent catheters only. Membership requires patient signature and completed physician order.

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Contact Medical Direct Club
Medical Direct Club, LLC
521 8th Ave. South Suite 204
Nashville, TN 37203

Phone number: 1-800-945-0066
Fax number: 1-615-866-9819
Monday-Friday 8-5 CST