Medical Mission Team Application

NOTE: If you previously submitted an application but have not yet received an approval email to begin using the MedShare Online Ordering System, please send an email to with your Contact Name, Organization Name and Account Number. You will then receive an email with your Login information.


If you’re having trouble submitting the digital form below or have any other questions, please email

Once your application is approved, you will receive an email with your username and password, which you will use to place your online order.