Join MediGroup

Participation Agreement

  • Member Primary Location

  • Member Details

  • Location 2

  • Location 3

  • Location 4

  • Location 5

    • Distributor Details

    • Primary Contact Person (the individual who will receive updates and communication from MediGroup including monthly newsletters, new contract announcements, membership perks information, etc)

    • Signer Details

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    • Optional

      Most utilized additional discounts:  Select the program discounts you are interested in and we will send you the details. A complete list of ancillary discounts will be sent to the designated contact once enrollment is complete.

    • Wireless Services
    • Medical Gases
    • Vaccines
    • Document Shredding
    • Office Products
    • Waste Disposal
    • Car Rental
    • Freight Management
    • Capital Equipment
    • Any Location(s) new construction?