Request for Information to Become a Drive Medical Provider

Thank you for your interest in Drive Medical. We are confident you will be pleased with Drive Medical as your source of durable medical equipment. We are committed to serving our customers with world-class service and continuing innovation. Partner with us to take advantage of:

The first step to become a Drive Medical provider is to complete this following form and your account representative will reach out to you to discuss your needs further. 


For Customers with a Drive Medical Account  looking for website access, please request access here: Click Here

For Consumers  looking to purchase a product please visit our dealer locator to find a provider nearest you.   Local Provider   |   Online Provider


For Businesses looking to become an authorized provider of Drive Medical products, please fill out the following form to be contacted by a Drive Medical Representative: