Account Setup

Can we help? Call us at (405) 440-2095 or email Corp@RheaHealth.com

Enter the information below and press Send your Account Setup.

Company Name

Phone

Address, City State, ZIP

Number of Workers

How did you hear about us?

DER (Designated Employee Representative, Person to Report Results To)

DER Name

DER Phone

Send results to fax or email (secure and confidential)

Emergency and After Hours Contact

Emergency Contact Name

Emergency Contact Phone

Billing Contact

Customer will be invoiced with 30 days to pay

Billing Contact Name

Billing Contact Phone

Send Invoice to Email

For Customer

Your Name and Title