Request a Representative

To learn more about TED from a Horizon representative,
please fill out the form below. 

If you are a healthcare professional and would like to learn more directly from a Horizon representative, please complete the form below. Your information will only be used to respond to your information request, and your practice's address is required to confirm that you are a healthcare provider. It will not be used for any other purpose. *Required fields.

You can look up your NPI by clicking here. Your NPI number must be in your name and not shared across your facility or in the name of any other person. 

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