Medline.com Mobile Ordering

Product search and ordering for your mobile devices.

Create New Medline Account

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First Name*
First Name is a required field.
Last Name*
Last Name is a required field.
Phone Number*
Phone is a required field.
Phone Number must be format ###-###-####.
Extension should be numeric values, * or #
Email Address*
Please provide a legitimate email address to which you have access. The confirmation will be sent to this address.
Email is a required field.
Email Address is not valid.
Form of Payment*
Form of payment is a required field.
Are you a Physician's Office?*
Form of payment is a required field.

During registration process, you will be asked to provide the following required information:

- Company info such as Name, Address, Phone Number, Business Type

- Contact Name, Phone Number

- Please add MDCsupport@medline.com to your address book to ensure our e-mails can reach your inbox.

If you would prefer to complete the application manually, please send the completed application form and tax certificates to us via fax (847) 837-2765 or email Click here to download forms

Application Form

Please use one of the following forms Medline New Account Application for Net 30 Days Medline New Account Application for Net 30 Days for Physician Office Medline New Account Application for Credit Card only

Tax Certificate(s)

Please provide us the tax exemption form for every eligible state if applicable. Please contact us if you don't have the form(s) yet.
Phone: 847-643-4062
Fax: 866-337-1271
Email: taxexempt@medline.com

If you have any questions please contact us at or call us at 1-800-MEDLINE (1-800-633-5463) Monday - Friday, 8am - 5pm CST.

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