E-Invoicing/Statement Sign-Up - Utah Medical Products, Inc.

Home Support E-Invoice Signup

Sign-up to receive your Utah Medical Invoices and Monthly Statements by e-mail and/or fax. Simply complete and submit the form below.

You will receive your invoices and statements in a more convenient and timely manner, and by selecting the e-mail option you will be able to keep backup copies of your documents in Microsoft Word format.

Yes, I wish to sign-up for Utah Medical Product's electronic invoicing/statements.

Select one or both of the following options

Send my invoices and statements via e-mail.
(enter up to two e-mail addresses)

Send my invoices and statements via fax.
(enter your fax number including area code)

Check this box to receive only your monthly statements electronically.
(Your invoices will continue to be delivered via regular mail)

Contact Information:

Contact Name *

Contact Title *

Organization/Facility Name *

Utah Medical Customer Number(s) *

Phone Number (include area code) *

* required field