Free & Charitable Clinic Application

With Free & Charitable Clinics playing an ever-expanding role in reaching individuals who face barriers to healthcare access, MedShare is expanding our efforts to serve you. By providing you with access to vital medical supplies at no cost, your clinic can apply those savings to direct care for more vulnerable individuals and families -- aligning perfectly with MedShare's mission.


To order medical supplies online from MedShare, please complete and submit the following application. If your application was already approved and you have your username and password, log in here. If you previously submitted an application but have not yet received an approval email to begin using the MedShare Online Ordering system, please email with your Contact Name, Organization Name and Account Number to receive your log-in credentials. To visit our Decatur Medical Supply Center, please schedule an appointment here.