Order Supplies

Nothing has changed!  We offer the same care, sliding fee scale, and fee reductions – but with a new look!
Use this form to order supplies.  You must have a current annual exam at Bridgercare to order supplies from this site.  (For mail orders, call the clinic at 406-587-0681.)  Refill orders must be placed 24 hours in advance of pickup.  Orders will be held in the clinic for 10 days.  The clinic is closed on Thursdays for staff meetings 9-11am.

* = Required Items. Email address must be valid for form to work.

Your Name*

Your Email*

Your Birthday*

Amount*

Your Phone Number*

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