MEDI-SHARE ONLINE APPLICATION

Step 1: BasicsStep 2: About ApplicantsStep 3: Application Fee

Primary Contact Information

Please enter the information for the person you would like to designate as the primary contact for your household.

If you are applying for a child(ren) only membership, please call (800) 772-5623 for assistance with completing your application.

Primary Contact Address

Primary Contact Information

A cell phone number enables us to provide you with text notifications, including password resets.

Other

Please note there will be a $50.00 application processing fee.

Become a Member of Christian Care Ministry and explore the benefits of Medi-Share!