Account Registration

 
Account Holder Information
required field

Company Information

If your organization qualifies for contracted pricing, please confirm your GPO and/or IDN contract number or membership ID number with Ohio Medical.

If your organization is sales tax exempt, please submit all sales tax exemption certificates here.
 
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Thank You!

Your account registration form has been sent to Ohio Medical.

You will receive an email confirmation at
upon the form's approval.
Please note, you will not be able to login until approved.*

*Our typical account approval timeframe is within 48 hours.
However, if you wish to expedite your registration and approval process, please call (847) 855-6320