Become A Resale Partner

ITA-MED Customer Information Profile

If you would like to become our Authorized Dealer/Distributor, please complete and submit the application below and one of our
representatives will get back to you within 72 hours. If you’re in the U.S., click U.S. Domestic. If you’re outside the U.S., click International.

Other Company Information

Do you carry or work with similar products now?

Yes
No

Are you satisifed with your current supplier?

Yes
No

Which ITA-MED products are you interested and would consider carrying?

Graduated Compression Hosiery
Maternity & Women’s Health
Neck & Back Supports
Abdominal Supports
Orthopedic & Sports Medical Braces
Durable Medical Equipment