IDS - Instant Diagnostic Systems HME Portal

New HME User Account Registration

Complete the form below for instant access to IDS Home Diagnostic Testing System.
If you need assistance, or have an account and forgot your username or password, Call 1-800-355-0691 and listen for the DME Tech Support Option

IDS Account Information Form
Enter the username and password below that you wish to use to access IDS. Passwords length must be at least 6 characters and include at least one letter and one number.
Username:
Password:
Re-Enter Password to Confirm:

Enter the account information for your company. The company information will appear on forms, documents, and test reports generated by IDS.

Last Name:
First Name:
Alternate Contact Name:
NPI:
Business Name:
Street Address:
Suite, Apt, Etc.:
City:
St.:
Zip Code:
Phone:		Ext
Fax:
Email:
2nd Email (Optional):
3rd Email (Optional):
What types of diagnostics do you intend to use? Select all that apply		PULSE OXIMETRYHOME SLEEP
Remain Anonymous on Home Sleep Test order forms, and Sleep Test reports?		No Yes
If you would like to leave additional comments about your account, enter them here:
How did you hear about us?
Enter Promotion Code:
Only complete the following 2 fields labeled 'Corporate account name' and 'Corporate location number' if instructed to do so by IDS or your Corporate HQ.
Corporate Acct Name:
Corporate Location #: