Order Online

 Order Online

You may find it more convenient to order online .  Please use the following form to place your order.  An email confirmation with pricing will be sent to you within the next 24 hours (or by the next business day).


Online Order Form

  • You may simply attach your purchase order here or you may enter the items individually below. (Press the "+" button to add additional items.) We will process your order and send an email confirmation by the end of the next business day
  • QuantityUnit of MeasureItem #Description 
    Add a row
Place Your Order



Affordable Medical Supply
1833 North Circle Drive
Colorado Springs, Colorado 80909

Phone: (719) 632-4036
Toll-Free: (800) 837-4036
Fax: (719) 632-8172
Email: info@affordablemedmart.com