For any registration related questions, please contact Supreme Medical's customer service department by calling 1-800-461-1370 Monday-Friday 8am-5pm CST

Status Message:
Please enter your information and then submit the form to create your new account.

New Business User Registration
Email Address:
Account Code or Customer Number:
If you have an existing account with us, Please enter it and we will associate your login with your account. (Leave Blank if you do not have one)
First Name:
Last Name:
Company Name:
Billing Address Line 1 (example: Street or PO Box):
Billing Address Line 2 (example: Suite):
Zip Code:
Fax :
Web Login to Copy Profile from :
A Supreme Medical sales representative will be contacting you to verify your business information and ensure we extend the appropriate contract pricing to your account. Until verified, only retail pricing will be visible to you online.
Please enter your information above and click Create Account. You will receive an email with your Username and Password so that you can begin placing orders immediately.
Forgot your password?
Email Address:
Enter your email address in the box above and we will send you your password.
Please note: To receive web customer login information, the email address entered here MUST match the email address on file for your account