Solati Providers

Account Setup

Terms of Agreement
This agreement outlines the primary terms and conditions between you and Solati Health.
Offline Account Setup Authorization*
Do you prefer to set up your account offline?
Contact Info
You are welcome to fill the on-boarding packet and mail it to our shipping address. The on-boarding packet is available under provider's page or we can also email you the on-boarding packet.
Agreement Outlines*
Please click the check marks to acknowledge your agreement to following terms.
- This agreement shall commence on the effective date. This agreement will auto-renew annually unless there is prior notice of cancellation.
- Payment terms will be net 45 days after the invoice.
- An initial credit limit of $1,500 will be provided by Solati Health. Any decisions with respect to the extension, continuation, or termination of your credit availability will be a the sole discretion of Solati Health.
- All orders can be placed via Phone, Email, or Online at www.solatihealth.com. All orders will be acknowledged within 48 hours of receipt via email. The buyer will be notified in the event there are any issues or backorders related to each individual order.
- Solati offers a 6-month warranty. Since Solati Health has no control over the actual application, no warranty is expressed or implied regarding the results to be obtained from the use thereof. User must determine the suitability of this product for the intended application and assume all risk and liability in connection therewith.
- If you choose to reimburse by Medicare, please make sure to understand and abide by DMEPOS Suppliers Standards.
- Retailer agrees fill out a Tax and Use Certificate and submit to Solati prior to ordering any products from Solati.
- For any questions, concerns and/or complaints, please don’t hesitate to reach out to our Customer Care Team directly.
Account Setup Authorization
Please print your name to consent with our agreement outlines.
Practitioner Name
First Last
Email
Effective Agreement Date
Date Format: MM slash DD slash YYYY
General Contact Information
Please fill out your preferred addresses to be associated with your account and orders.
Shipping Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is Billing Address same as Shipping address?*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have a question? [email protected] | +1 (775) 432-6004

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Solati Providers

Account Setup

Terms of Agreement

Account Setup Authorization

General Contact Information