Titanium Medical and Technical Prospects are now DirectMed Imaging. Comprehensive made simple. X

Credit Application:

Option 1. Faster Approval. Fill out the online form below, parts 1 & 2. Submit for Sales and Finance to review your application.


Option 2. Download the Fillable PDF, return it to your account manager. To Save, Right Click, “Save Link As”.   PDF Credit Application – Fillable – Complete & Return

Credit Application

Apply for Credit from DirectMed Imaging. Contact your Account Manager if you have questions.

Step 1 of 2

Business Contact Info

MM slash DD slash YYYY
Pick One.

Billing Information

Primary Billing Address: