Plus Laboratory
More Quality
More Quality
Providing podiatrists with premium craftsmanship and personalized service for three generations and over 50 years
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Fill out the brief form below and we will send your practice our Product Selection Guide and a Price List. All the fields with asterisks are required for verification purposes.

Choose your discount level below, based on your monthly custom orthotic volume:
1-9/mo:
Introductory
Discount		 10-19/mo:
Intro discount plus 5%		 20-29/mo:
Intro discount plus 10%		 30+/mo:
Intro discount plus 15%		 I don't prescribe orthotics

Practice Name* Main Office Phone*

Prescriber/Administrative Contact Name* Email Address*

Please send a free sample pack!

Street Address*
 
  City*   State*   Postal Code*

Select your casting method below to also receive a free starter kit:

Plaster of Paris
Foam Box
No Starter Kit, thank you, anyways.
Create an account in minutes, and we'll send you a starter kit with everything you need to order from us, as well as start your practice off with a $3,000 line of credit.

Choose your discount level below, based on your monthly custom orthotic volume:
1-9/mo:
Introductory
Discount		 10-19/mo:
Intro discount plus 5%		 20-29/mo:
Intro discount plus 10%		 30+/mo:
Intro discount plus 15%		 I don't prescribe orthotics

New Account Application
Billing Information
Office Name*
Attention To (if applicable)
Street Address*
City*
 State*
 Postal Code*
Phone*
 Fax
Office Email
Ship To:
Billing  Use below
Office Name*
Attention To (if applicable)
Street Address*
City*
 State*
 Postal Code*
Phone
 Fax
Office Email
Customize Your Invoice, Billing, & Payment Preferences
Individual Order Invoices:   Paper (included with orthotics)  Electronic  Both
Monthly Billing Statement:  Paper  Electronic  Both  None
We prefer to pay by:  Monthly Statement  Order Invoice (no volume discount)

Customize Your Shipping Options to Best Suit Your Practice
INBOUND: To Lab Prepaid labels are provided by Plus Lab for the following services:
Select One: UPS 2-Day
Always 2 Days		 USPS Priority
More economical		 I prefer to use my own shipping labels/service
Cast & Foam Packaging
Select One:		 Cast Boxes
Provided no charge to domestic accounts		 Bio-Foam Boxes
Provided at-cost
+ shipping		 I prefer to use my own cast/foam boxes
OUTBOUND: From Lab
Select One:		 UPS 2-Day
Always 2 Days.
Tracking service included.		 USPS Priority
2 - 5 days. More economical.
Tracking service included.

Prescribers & Staff
A primary prescriber is required for us to create your personalized prescription forms.
Primary
Prescriber		 First Name*
 Last Name*
 Title

Are there additional prescribers and staff you can tell us about?
Doctor Staff First Name Last Name Title
Look to your starter kit arriving within the next 4-5 days!


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Downloads:
Product Guide | Rx Form | New Account Form