simple online registration
Registering a patient with Independence Direct for free home delivery is a reassuringly simple process. Simply complete our Registration Form below.
Please note, this form is for use by healthcare professionals only. If you are a patient looking to join our free Home Delivery Service please visit our how to order page.
Thank you for referring your patient to Independence Direct.
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FREEPHONE 0800 160 1399
FREEPOST Independence Direct
Grattons Court, 74 Grattons Drive,
Crawley, RH10 3AG