As a part of our going green initiative, all forms below are completed via Adobe eSign without any need to print, fax or mail documents. There is no need to login with Adobe. If you have any questions, please call us at 877-677-7767 or email firstname.lastname@example.org.
Complete the Customer Account Application at the appropriate link below.
If your company has been in business for more than three years, complete this form:
Customer Account Application
If your company has been in business for less than three years, complete this form:
Customer Account Application – under 3 years
Complete the GPO Designation form below.
GPO Contract Designation Form
Set up your mySMARTS account. mySMARTS is a secure, online customer portal that provides US Med-Equip customers equipment management and tracking information 24 hours a day.
Customers can schedule deliveries and pickups of equipment, view information such as a list of current rental items and rental history, service reports for current rentals and more.
Fill out the form below and we’ll send you your mySMARTS login.
Email email@example.com if you need a W9 or if you have tax-exempt documentation you would like to submit.