Ready to get started? Fill out and submit our application for medical account access and our staff will contact you to complete your registration.
Once your have downloaded and completed our application, you may submit your application by:
Email to: cs@designveronique.com
Fax to: 510-970-7996
Submit Online: Use our online application submission form
If you already have a registered medical account, simply log in to your account in order to see special medical industry pricing on all accounts.