Product Request

Can't Find the Product(s) You're Looking For?


Some product(s) are not listed online yet, but we still have them available. 

If you can't find a specific product, please let us know!

Please note if you're a Business Account customer, only your contract items and our core products are available online. For any other products you may want to purchase, please contact us or your Account Manager. 
 
These additional products can then be added to your online account and be available to order online within 24 hours.

Your Name: *
Your Email Address: *
Mediq Account Number (if available):
Post Code:
Company Name:
Product Name(s):
Product Description(s): *
Quantity Needed:
Additional Comments:
Our Privacy Notice and how we process personal data, can be found at medbis.mediq.co.uk
Our Privacy Notice and how we process personal data, can be found at medbis.mediq.co.uk