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To submit an order & recieve commissions on orders please click on the button below and complete the home health order form electronically.

Alternatively, you can complete the order form PDF and submit it via email to [email protected]. These orders will be processed manually and may take an additional week to process.

Get Support

Medx.US offers support for affiliates during the following hours:

8am-5pm Monday-Friday | Central Time Zone

Contact Information:

Phone: (855) 954-MEDX (6339)

Email: [email protected]

Support Form

Payment information

If you would like to update payment information please submit the new payment information on the form below:

Payment Information Form

Didn’t recieve payment or have a question regarding a payment? Complete the support form below:

Support Form

Update Affiliate

In the event your business updates their logo or business name, you can update that information using the form below:

Affiliate Update Form

Once updated, we will review the updates and make changes to your affiliate page & client email notifications. May take up to a week to be updated.