Email addresses need to match
Please enter valid email address
Please enter letters, spaces, hyphens, or periods only
Phone number or email address must have a value




Tell a Friend
Please remember to check the BBB rating of any company you are thinking of doing business with; it may help you avoid a costly mistake.

Contact Us

If you have questions or comments that were not answered in the FAQ (frequently asked questions) section and do not want to call Med Advocates toll-free number (800) 273-1842 at this time, please submit your question or comment by email on this form. You will receive a response as quickly as possible during our regular office hours, Monday through Friday 9AM-5PM CST.

To apply for enrollment click here now.

First Name (required):
Last Name (optional):
Email Address *:
Re-enter Email Address *:
Phone Number *:
* Phone Number or Email Address is required *
Which state do you live in?
(may effect eligibility on some medications)
Are you currently enrolled with Med Advocates to receive free medication?
 YES    NO   

Create your email message in the box below:



Med Advocates

6216 Washington Ave, Ste C2
Mount Pleasant WI 53406
Phone Toll Free:  (800) 273-1842
Fax Toll Free:  (262) 721-1241
Office Hours: Monday through Friday 9AM-5PM CST