Fill out the form below to become a member
of our Kerasal Retail Referral Program.

*First Name:


*Last Name:


*Practice Name:


*Title:


*Street Address:


*City:


*State:


*Zip Code:


*Phone:


*Email:


*Comments:

Retail Referral

Be confident in your recommendation! As a member of our Kerasal Retail Referral program, we will periodically ship you free samples, coupons and educational materials for your patients. We have found that distributing these materials help to ensure patient compliance with podiatrist recommendations. If you run out of samples, just call and we’ll send you more!

Download Retail Referral Form

Direct Dispense

Kerasal Direct Dispense helps you improve patient outcomes, while also generating incremental revenue for your business. DPM’s can purchase Kerasal products directly from us, the manufacturer, at wholesale prices. While we suggest retail prices as a guideline, you are free to set prices as you feel appropriate.

Kerasal offers certain products exclusively or primarily through DPMs to ensure minimal competition with retail outfits. Other products are sold primarily through retail stores, but you are free to dispense these as well.

Why should you dispense Kerasal?

• Dispense safe and effective products, including the #1 foot ointment, which is approved by the American Podiatric Medical Association (APMA).
• Increase profits for your practice with attractive margins
• Provide convenience for your patients

Download Direct Dispense Order Form

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