Do you currently have an open or non-healing wound? *

Yes

Are you currently enrolled in Medicare Part B? *

Yes

Have you seen a medical provider in the last 30 days? *

Yes

What is your name? *

What is your zip code? *

We provide mobile services and use this information to confirm availability in your area.

What is your date of birth? *

What’s your Medicare Policy Number so we can make sure you get maximum benefits with zero stress? *

Which email should we send your free wound care success guide to? *

What’s the best number to reach you at so we can schedule your free consultation and get you started? *

By providing my information, I agree to be contacted by a member of the Las Vegas Wound Care Management team. Your information is secure. We do not rent or sell your data.