Register: New Customers

If you are not currently a Vital Medical Supplies customer, please fill in the Account Application Form.

Please ensure hard copies are signed and then sent to us (along with required documentation) by fax: 1300 557 631 or scanned and emailed to

Existing Customers

If you are an existing customer and would like to set up an online account, please fill in the Register for Online Account Form below and we'll create your account within 48 hours. The system will support logins with multiple accounts, please advise these in the Message field below. You will receive an email confirmation once your account has been completed.

Register for Online Account