Register with Medibid as a Seeker
Required Fields
Posting a request for medical care on MediBid.com is free if you do not receive any Bids. To browse through matched providers and to view your Bids, there is a service fee of $25 per medical request posting (not per Bid received).
Create a MediBid User Id
User Id:
Password:
Confirm Password:
Personal Information
First Name:
Last Name:
Email Address:
Phone:
Alternate Phone:
Address Line 1:
Address Line 2:
City:
Country:
State or Province:
Zip or Postal Code:
(Use only first 5 digits for United States)
Gender:
Date of Birth:
 /  / 
Referred By:
Your Present Health Condition
Do you have cardiac problems?
YesNo
Do you have respiratory problems?
YesNo
Do you have diabetes?
YesNo
Do you high-blood pressure?
YesNo
Do you have allergies?
YesNo
If Yes, please list allergies
Do you smoke?
YesNo
If Yes, how many years
Do you consume alcohol?
YesNo
If Yes, how much
Current Medications
Height (ft, in)
Weight (lbs)
Are you enrolled in U.S. Medicare?
Yes
No
If yes, are you enrolled in (check all that apply):
Part A Part B
I have read and agree to Terms of Use.
By checking here, you have read and agree to the above terms and conditions and agree that you, not MediBid, are responsible for any background checks on any of the health care bidders accessed through this site. If you are a doctor, bidding on services, you further warrant that you are licensed, board certified, and not under disciplinary action and competent to provide the services on which you are bidding.
Registration is FREE. You can also create your medical request for free, you will need to pay $25 in order to see the bids and view the profile of the bidder, who bids on your request.