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Request Access to Our Portal

Please fill out the following form to have your account created.
You will receive an email once your portal has been created with your log-in credentials.

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Facility Name *

Your Facility Title (Such as DON, Nurse, Central Supply) *

your this Name

Name *

First

Last

Email *

Phone *

If this is your first time using MasVida Connect, will you need assistance/a demo on how to use this feature? *

Yes
No
Maybe

Please select the notifications you wish to receive:

Order Confirmation
Delivery Confirmation
Pick Up Request Confirmation
Pick Up Confirmation

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Customer Service:

877-790-5994

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HQ Address:

133 Nursery Lane,
Fort Worth, Texas 76114

All trademarks, service marks, and company names are the property of their respective owners. Any products or services offered by MasVida Health Care Solutions, LLC (MasVida) are subject to customer entering into a written customer agreement with MasVida.

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