Customer Application
Below are three easy steps to get started with US Med-Equip. If you have any questions, call us at 877-677-7767.


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 info@usmedequip.com.

Step 1:
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

Step 2:
Complete the GPO Designation form below.
GPO Contract Designation Form

Step 3:
mySmarts logo

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, receive auto-email invoices and proactive email notifications for equipment due for preventative maintenance (PM), 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.




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More information:
Email billing@usmedequip.com if you need a W9 or if you have tax-exempt documentation you would like to submit.

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