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Information Request Form

For more information, please complete this form. You may also contact MEDEX directly at 1-800-537-2029 or via email using info@medexassist.com.

NOTE: This form is for inquiries about MEDEX services only. If you need to contact the MEDEX Emergency Response Center, please call us using one of our toll-free phone numbers, email operations@medexassist.com, or create a case in your MEDEX Member Center.

MEDEX respects your privacy. Please read the following to learn more about our privacy policy.

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