The Senior Healthcare Market

Which type of medication are you currently purchasing?

Are you currently taking insulin? If yes, please indicate the typical number of shots per day.

Have you ever been diagnosed with any of the following conditions?

Frequent headaches

Arthritis or chronic pain

Diabetes

Neuropathy

Do you suffer from Hammertoes or other painful deformities in your feet?

How long has it been since your last Doctor visit:

Would you be interested in saving 50% of the cost of your medication?

By entering your phone number, mobile telephone number or email you agree to consent for Fort Collins Medical Supplies and its affiliated entities to contact you by telephone, SMS text message or email for coordinating health services and products that may be beneficial to me regarding my data on this questionnaire.

Consent to be Contacted

Authorizing Assignment of Benefits

We recognize the privacy of your personal information is important. The purpose of this policy is to let you know how we handle the information collected through the use of this website. Portions of this website may describe privacy practices applicable to specific types of information or to information provided on specific web pages. As used in this policy, terms such as “we” or “our” and “Company” refer to DME Supplier and its affiliated entities.

This website is intended for a United States audience. Any information you provide, including any personal information, will be transferred to and processed by a computer server located within the United States.

Your Personal Information

This website may include web pages that give you the opportunity to provide us with personal information about yourself. You do not have to provide us with personal information if you do not want to; however, that may limit your ability to use certain functions of this website or to request certain services or information. We may use personal information for a number of purposes such as:

To respond to an e-mail or particular request from you.
To process an application as requested by you.
To administer surveys and promotions.
To provide you with information that we believe may be useful to you, such as information about health products or services provided by us or other businesses.
To perform analytics and to improve our products, websites, and advertising.
To comply with applicable laws, regulations, and legal process.
To protect someone's health, safety, or welfare.
To protect our rights, the rights of affiliates or related third parties, or take appropriate legal action, such as to enforce our Terms of Use.
To keep a record of our transactions and communications.
As otherwise necessary or useful for us to conduct our business, so long as such use is permitted by law.
We may use personal information to contact you through any contact information you provide through this website, including any email address, telephone number, cell phone number, text message number, or fax number. Please see the section below titled, “Our Online Communications Practices.”

We may share personal information within the Company, and we may combine personal information that you provide us through this website with other information we have received from you, whether online or offline, or from other sources such as from our vendors. For example, if you have purchased a product or service from us, we may combine personal information you provide through this website with information regarding your receipt of the product or service.

Our Online Communication Practices

We may send electronic newsletters, notification of account status, and other communications, such as marketing communications, on a periodic basis to various individuals and organizations. We may also send email communications regarding topics such as general healthcare products, website updates, health conditions, and general health topics. We offer you appropriate consent mechanisms, such as opt-out, for marketing and certain other communications. As examples, you may opt-out as provided for in a specific e-mail communication or contact us. Please be aware that opt-outs may not apply to certain types of communications, such as account status, refill notifications, or other important communications.