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Medline.com

Account Registration

  • 1. User Information
  • 2. Account Details
  • 3. Tax Exemption & Business Info
  • 4. Terms and Conditions/Confirmation
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User Information

First Name is a required field.
Last Name is a required field.
Phone is a required field.
Phone Number must be format ###-###-####.
Extension should be numeric values, * or #
Email is a required field.
Email Address is not valid.
Please provide a legitimate email address to which you have access. This will also act as your Medline.com username, and confirmation emails will be sent to this address.
Occupation/ Role is a required field.
Type of business is a required field.
Explain Type of Business is a required field.

Account Type*

Account type selection is a required field.

For any registration related questions, please contact Medline customer service at service@medline.comor call us at 1-800-MEDLINE (1-800-633-5463) Monday - Friday, 8am - 5pm CST.

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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