Instructions

Register here for a user account for yourself. You will utilize your user account to place orders for yourself, other individuals, and department needs.

Enter your information.
Click the Register button.

Note: Fields marked with an * are required.

@UHhospitals.org email addresses need to be utilized

User Information

First Name*

Middle Name

Last Name*

Title Line 1

Title Line 2

Department Line 1

Department or Division Line 2

Department or Division Line 3

Email*

Email is already in use. Please choose another. Email is required.

Address Line 1*

Address Line 1 is required.

Address Line 2

Address Line 3

City*

City is required.

State*

select

Zip*

Zip is required.

select

Additional Order Information
These fields are for items that allow additional information to be included

Additional Phone number	This field is required.

Login Email*	This field is required. Please, enter valid e-mail address. This is the same email address entered in your user information.
Login Password*	This field is required.