To become a new customer of Össur you will need to complete a credit application and a W9 form.

Credit application:
PDF (.pdf) version | Microsoft Word (.doc) version

Form W-9:
Form W-9 : Request for Taxpayer Identification Number and Certification

Fax completed application and W9 form to: 949-362-9460 or email to avar@ossur.com

You may also call 800-233-6263 for assistance.