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For any other issues or to place
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By proceeding with this registration, you agree to the Terms and Conditions, Privacy Practices and represent and acknowledge either that you are the CCS Medical customer, or that you are the authorized representative, parent, or legal guardian of the CCS Medical customer whose personal information will be accessible through this website.
If you need assistance, please call 800-413-2875.

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* First Name:
* Last Name:
* Date of birth:
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* Home Zip Code:
* Patient ID:
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* Insurance ID:
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CCS Medical requires a valid prescription for "Rx Only" products (e.g., insulin pump device) prior to dispensing the item.
Please Note: syringes and needles cannot be purchased without a prescription from a medical practitioner unless state law otherwise allows.