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Request Access to Our Portal

Please fill out the following form to have your account created.
You will receive an email once your portal has been created with your log-in credentials.

Do you already have access to EMS Pro? *

Corporation Name (Parent Company) *

Facility Name *

Facility Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name *

First

Last

Your Facility Title (Such as DON, Nurse, Central Supply) *

Email *

Phone *

User Access Type *

Facility Admin & Invoice (Standard Access, Users & Invoice)
Standard (Standard Access)
Invoice Only (Invoice Only)

Please select the user access type required for your correct online customer experience.

Need access to multiple facility(s)?

Do you have more than 10 facilities? *

Do you need access to all facilities? *

Please upload an .xlsx or .csv file that includes: Facility NAMES, Facility ADDRESSES

Follow the form table headers as shown in the image below:

table header form example for ems pro registration

Please upload here:

Drag & Drop Files, Choose Files to Upload

Additional Facility #1

Facility Name (#1)

Address of Facility (#1)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#2)

Facility Name (#2)

Address of Facility (#2)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#3)

Facility Name (#3)

Address of Facility (#3)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#4)

Facility Name (#4)

Address of Facility (#4)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#5)

Facility Name (#5)

Address of Facility (#5)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#6)

Facility Name (#6)

Address of Facility (#6)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#7)

Facility Name (#7)

Address of Facility (#7)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#8)

Facility Name (#8)

Address of Facility (#8)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#9)

Facility Name (#9)

Address of Facility (#9)

Address Line 1

Address Line 2

City

State

Zip Code

Need access to another facility?

Additional Facility (#10)

Facility Name (#10)

Address of Facility (#10)

Address Line 1

Address Line 2

City

State

Zip Code

If this is your first time using EMS Pro, will you need assistance/a demo on how to use this feature? *

Yes
No
Maybe

Do you want order notifications? *

Customer Service:

877-790-5994

HQ Address:

8505 Freeport Pkwy, Suite 210,

Irving, TX 75063

All trademarks, service marks, and company names are the property of their respective owners. Any products or services offered by MasVida Health Care Solutions, LLC (MasVida) are subject to customer entering into a written customer agreement with MasVida.

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