New Accounts

By becoming a CuraScript SD customer, you will be assigned a dedicated Account Manager who can provide you with numerous purchasing options and seamless delivery solutions. Account set-up is complete within 2 business days in most cases. Your Account Manager will contact you when your account has been opened and assist you with scheduling your first order. The credit application and intent to purchase controlled substance forms can be filled out electronically, printed and faxed or emailed.

Click For New Account Forms

 

Fax the completed application to 800.862.6208. Your dedicated Account Manager will contact you to place your first order within 24-48 hours in most cases. When returning your completed application, please remember to include:

  • Signed Terms and Conditions
  • HCCE (Florida) or TDDD (Ohio), if applicable
  • State license
  • Tax Exemption Certificate, if applicable
  • DEA, if applicable
  • Intent to Purchase Controlled Substances, if applicable
  • GPO declaration form, if applicable
Learn more about your best price on our full line of products!