VGM Wound Care Profile

Interested in Joining VGM Wound Care? Fill out this profile!

As a VGM member, you also have access to VGM Wound Care. Simply fill out this profile below, and you'll be able to access VGM Wound Care resources to help group your wound care business.

Contact Information

Current VGM Number *

Business Name (name on your federal income tax form)

DBA

Mailing Address

City

State

Zip

Phone Number

Fax

Toll-free Phone

Business Hours

Store Contact (if different from owner)

Email *

What products and/or services do you provide?

Negative Pressure Wound Therapy

% of HME business

Vendors

Support Services

% of HME business

Vendors

Nutrition

% of HME business

Vendors

Compression

% of HME business

Vendors

Dressings

% of HME business

Vendors

VGM Wound Care sends out timely emails on the following topics: General announcements, vendor promotions, educational opportunities, and industry updates. Who at your office should receive information on these topics?

Name

Email Address

Title

Name

Email Address

Title

Name

Email Address

Title

All fields marked with * are required.

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