To become a customer (in the U.S.)
By phone: Call Customer Service to request a New Customer Application. Our customer service representatives can assist you in submitting the form for approval. Providing the customer service representative with your medical license number will expedite the approval process.
Online: Download the New Customer Application by clicking the link below. After you have completed the form, please email it to DomesticCS@coopersurgical.com.
New Customer Application
Canadian New Customer Application
Upon approval, a customer service representative will contact you with your new account number. You can then begin placing orders.
If you are outside the U.S., to become customer, please call:
Create Online Ordering Account (U.S. Only)
We offer online order entry for U.S. customers through the Commerce Connection™. Once you are registered for online ordering, you will be able to place orders, track shipments, review your prior purchase history, and schedule orders for future delivery.
After a Commerce Connection account is established for your business, each buyer must call 800-243-2974 to establish their own personal login/password information before using the system.
Current customers, please call Customer Service to set up your Commerce Connection account.
New customers, please call Customer Service to request an New Customer Application. Once your account is open, a customer service representative will be able to set up your Commerce Connection account.