Complete your Order

Please fill out the form below to complete your order.

Please fill out the form to register with the REMEDIA Online Shop.

Registration provides our customers with many services. Orders that have already been placed can be viewed, invoices are available for download and much more.

Personal Data

Customer Category

Account Information

Password (min. 8 characters, upper/lower case, numeric)

Personal Information

New customers: To receive special discounts, please upload your doctors/therapist certificate. Existing customers are already validated, no upload is necessary.

Upload Certificates

Date of Birth (Day-Month-Year)*

Delivery address

Ship to different address

Personal Information

Date of Birth (Day-Month-Year)*

Billing address

Bill to different address

Personal Information

Date of Birth (Day-Month-Year)*

Options

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2 | Select shipping method

3 | Payment method