Restricted Product Authorization Required.
Due to Federal and State regulations some of the items can only be sold to licensed Medical Businesses (Medical Practice, Home Care, Nursing Home, etc.)
In order to complete your purchase you must complete Restricted Product Authorization Form
and mail or fax with copy of your Physician's State Medical License and Medical Practice, or Home Care, or Nursing Home health facility State License.
You may fax or email/mail your complete documentation to:
Attention: Restricted Product Department
251 Milwaukee Ave., Suite 111
Buffalo Grove, IL. 60089
Fax: (847) 777-0565