Purchase Order & Credit Application Information

Government Entities, Goverment Hospitals & Public/Private Schools:

A credit check is not necessary prior to ordering for Public and Governmental Entities. Please fax your quote request or purchase order directly to us at toll-free fax (888) 507-7326 or local fax (678) 254-1791.

Email Purchase Orders to: order@rehabmart.com
Email Quote Requests to: quotes@rehabmart.com

Credit Application: Credit App (MS Word) Credit App (Adobe PDF) Order Form: Order Form (MS Word) Order Form (Adobe PDF)

Private Health Care Facilities:

Please complete our credit application prior to placing your order. Thank you!

Private Companies/Organizations:

Please complete our credit application prior to placing your order. Thank you!

- Easter Seals
- St Jude Children's Hospjtal
- Babies Can't Wait
- Social Security Administration
- Devereux Treatment Network
- Knights of Columbus
- Dept of Public Health
- The Center for Discovery
- Childrens Hospital Birmingham, AL
- Montgomery County, AL
- Anchorage, AK School District
- Western Carolina University
- NYU School of Medicine
- State of New Hampshire
- Sisters Of Mercy
- Childrens Healthcare of Atlanta
- University of New England
- West Chicago School District
- Dept of Veterans Affairs Med. Ctr
- University of AZ Medical Center
- The Maryland School for the Blind
- St Lukes Health System
- Hawaii State Hospital
- Greenwich Public Schools
- Bagram Air Force Base
- National Physical Therapy
- The Nemours Foundation
- Kennedy Krieger Institute
- Mammoth Hospital
- VA Medical Center
- Broken Arrow Public Schools
- The Chicago Lighthouse
- New York Presbyterian Hospital
- Orange County Dept. of Education
- Good Shepherd Rehabilitation
- Atlanta Public Schools
- Renal Research Institute LLC
- Augusta VA Medical Center
- Charlotte County Public Schools
...and hundreds more!