PHD Request Form

Automatic Personal Home Delivery

Experience True Convenience with Restored Living Personal Home Delivery

Customer service is and has always been a top priority for us, and we believe that our customers deserve the absolute best service possible. Receiving the products you need is now easier than ever with our customer-friendly Personal Home Delivery (PHD) home delivery service! When you sign up for free, YOU choose how often YOUR products are delivered, at a schedule that is most beneficial to YOU. We'll place your orders for you, while you save money and enjoy your free time! Cancel or make changes at any time.

Personal Home Delivery

How It Works
  • Choose your product or products (FREE Shipping over $50!)
  • Choose how often you want to receive these products (for example, every two weeks or every three months)
  • You will receive a $5.00 and 5% discount on your 1st order, then 5% off every order afterwards
  • You're done! We'll take care of placing your orders for the duration of your PHD membership!

  • Name:
    Street Address:
    Select State:
    Phone number:
    Email address:

    What product categories are you interested in?
    Incontinence: Sold by the Case
    Gloves: Sold by Box or Case
    Diabetes: Sold 1 Package at a Time
    Nutrition: Sold by the Case
    Vitamins: Sold by the Bottle

    Please tell us what brands you're interested in and how often you prefer a shipment:

    Once you have submitted this form, we will contact you to customize your Personal Home Delivery service to make sure it's perfect for your needs.

    Notification and Changes
  • We will send an email or phone call notification 48 hours prior to your order shipping (possibly earlier due to holidays or weekends)
  • If you need to make changes once you have signed up, please email or call toll-free 1-800-501-7701
  • Changes can be made anytime and are 100% free of charge, prior to your scheduled shipping day!