Member Registration

Maximize your industry knowledge when you create a Health Care Practitioner (HCP) or Community Care Access Center (CCAC) online account. You'll get access to private seminars and information sessions, our new Order Tracking Service (for CCACs), and informative resources directly suited to your specific needs.

HCPs and CCACs each have their own dedicated portal, containing exclusive educational seminars listings and tailored informational articles. If you can discuss the latest developments and provide informed assessments, you're on your way to best-in-class patient care skills.

It couldn't be easier - and it's free. Simply fill out the form below, and pending approval, you will be sent your access confirmation.

My Email Address *

Preferred Password *

Confirm Password *

Sales Consultant Name *

My Name *

My Title *

My Telephone and Extension *

Account Type *

Company Information

Company Name *

Company Legal Name *

Company Street Address and Unit Number *

City *

Province *

Postal Code *

Fax Number *

Number of Years in Business *

Years at Present Address *

Owner/President's Name *

Telephone *

Accounts Payable *

Telephone *

Purchasing Agent *

Telephone *

PST Excemp Number *

GST Exempt Number *

Banking Information

Name of Financial Institution *

Branch *

Contact *

Telephone *

Trade References

Reference 1

Name *

Address *

Telephone *

Account Number *

Reference 2

Name *

Address *

Telephone *

Account Number *

Comments *

Ontario Medical Supply
1100 Algoma Road
Ottawa, ON K1B 0A3
Tel: 613.244.8620
Fax: 613.244.3826Get Directions