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. Please download and complete the Credit Appilcation and Intent to Purchase Controlled Substances Form (if applicable).

CuraScript SD Credit Application

CuraScript SD Intent to Purchase Controlled Substances Form

Fax the completed application to 800.862.6208 or email to 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 Credit Application, including signed Terms and Conditions
  • State License
  • DEA, if applicable
  • HCCE (Florida) or TDDD (Ohio), if applicable
  • Tax Exemption Certificate, if applicable
  • Intent to Purchase Controlled Substances, if applicable
  • GPO affiliation, if applicable
  • Power of Attorney, if applicable
  • If Credit Line requested greater or equal than $1MM, Financial Statements must be attached (Balance Sheet &  P&L)
Learn more about your best price on our full line of products!