Contact Us - Global Open Wound Care

Texas & Florida

866-432-5639

All Other Regions

913-286-4448

Patient Form

Please fill in the patient or referral information and our team will get back to you within the next few hours.

Office hours:
Mon – Fri: 8am-5pm CT
24 Hour Emergency Calls

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First Name*

Last Name*

Email*

Phone*

Are you a*

Patient

Patient Caretake (family member)

Physician

Skilled Nursing

Home Healthcare Provider

Discharge Planner

PA Other

Patient Information:

First Name*

Last Name*

Are they insured by Medicare Part B?*

Yes

Type of wound:

Diabetic Foot Ulcer

Venous Ulcer

Arterial/Ischemic Ulcer

Post-Surgical

Infectious

Pressure Injury/Ulcer

Traumatic Injury

Post-Radiation Injury

Other

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For Patients

Discover the impact our mobile wound care services can have on your healing journey right where you need it most.

Call Us at 866-432-5639

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For Health Providers

Learn more about our mobile wound care services and the level of personalized care your patients will receive in the comfort of their homes.
Call Us at 866-432-5639

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250 Miron Dr, Southlake, TX, 76092

office@globalopenwoundcare.com

Texas & Florida P: 866-432-5639
Missouri & Kansas P: 913-286-4448

F: 817-241-4240