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New Account Registration

To place an order, you must have an account established with ParaGardDirect. To establish an account, please complete the online ParaGardDirect Business Application located on the Forms page and submit to us with a copy of your state license. We must have a signature on the application form and a physical copy of the license. Once you have established an account with ParaGardDirect, a web account will be created for you.

Existing ParaGardDirect Customers Requesting Online Access

If you currently have a ParaGardDirect account and would like to begin purchasing products online, please fill out the form below and click submit when complete. New web accounts will be created by the close of business on the next business day.



Company Name  
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Your Account Number(s)
More than one account number can be entered separated by commas (no spaces). Don't know your account number? Please call customer service at 877-727-2427.

Paragard® is a registered trademark, and Paragard DirectTM is a trademark of CooperSurgical, Inc.

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