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 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:  
Email: *  
2nd Email (Optional):  
3rd Email (Optional):  
Business Name: *
Street Address: *
Suite, Apt, Etc.:
City: *
St.:   *    
Zip Code:   *  
Phone:  Ext
*  
 
Fax: *    
What types of diagnostics do you intend to use? Select all that apply
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 #:
If you would like to leave additional comments about your account, enter them here:
Enter the username and password below that you wish to use to access IDS.  Passwords length must be 6 to 15 characters. Must contain one number and one letter. May include _!@#$%^*&
Username: Check Availability
Password:  
Re-Enter Password to Confirm:



                   

  
   


  
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