Login / Register
Become a Vendor
Clinical & Diagnostics
General Nursing Care
Housekeeping & Environmental Supplies
Linen & Textiles
Needles, Syringes & IV Solutions
Rehab & Therapy
Become a Vendor
Create new United Med Supply Account
Just like our Better Prices, Easier Ordering & Quicker Deliver, we make applying for a UMED account a breeze.
Fill out our simple and secure form, and a UNITED Medical Supply representative will be in contact with you.
Confidential Credit Application
Same as above?
Accounts Payable Info
You are hereby authorized to release credit information about our account standing, credit line and payment history to UNITED Medical Supply Company, LLC to be used explicitly for the establishment of an account and credit line. This form is and the information entered uses a secured encryption.
A service charge of 1.5% per/month will be assessed on all past due balances. Applicant hereby requests open account terms. In consideration of the extension of credit with UNITED Medical Supply Company, LLC, Applicant guarantees full and complete payment of account and certifies all information on within this form is correct and accurate. Applicant agrees to pay all cost of collection and attorney's fees incurred by UNITED Medical Supply Company, LLC in the enforcement of this Agreement or in the collection of any amounts due and owing UNITED Medical Supply Company, LLC from Customer.
All information herein is the express property of UNITED Medical Supply Company, LLC. All disclosed information is for the use of employees of UNITED Medical Supply Company, LLC. This information supplied in this form is secure, tracked and shall be deemed as a digital signature of the applicant. All exceptions must be approved by UNITED Medical Supply Company, LLC executive employees. If you have received this document in error, please immediately contact the UNITED Medical Supply Company, LLC legal department at (866) 678-8633.