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How do I fill this out?

This section provides an introduction to filling out the order forms. Follow these instructions to ensure accurate and complete order submission. Detailed steps will be provided below.

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How to fill out the Health Care Professional Order Forms and Suggested List Prices?

  1. 1

    Identify the product you wish to order.

  2. 2

    Enter the quantity needed for each product.

  3. 3

    Fill in the account information including your account name and number.

  4. 4

    Calculate the total price for the products ordered.

  5. 5

    Submit the completed form to the provided submission address.

Who needs the Health Care Professional Order Forms and Suggested List Prices?

  1. 1

    Healthcare professionals who need to place product orders.

  2. 2

    Clinics requiring up-to-date pricing information.

  3. 3

    Pharmacies managing inventory and product availability.

  4. 4

    Medical practitioners tracking product usage and costs.

  5. 5

    Healthcare institutions maintaining records of product orders.

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What are the instructions for submitting this form?

Submit the completed form to the following address: P.O. Box 904 | 1200 W. Royal Lee Drive | Palmyra, WI 53156-0904. You can also fax the form to 800-558-8740 or submit it through the online submission form available on the standard process website. Ensure all required fields are filled out accurately to avoid any delays in processing your order. My advice is to double-check all information before submission to ensure accuracy and completeness.

What are the important dates for this form in 2024 and 2025?

The form should be submitted by the end of each quarter to ensure timely order processing.

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What is the purpose of this form?

The purpose of this form is to facilitate the ordering process for healthcare professionals. It provides a comprehensive list of products along with their suggested list prices. By using this form, you can ensure that your order is accurate and complete, making the procurement process efficient and streamlined.

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Tell me about this form and its components and fields line-by-line.

This form includes several components and fields that need to be filled out accurately.
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  • 1. Product Name: The name of the product you wish to order.
  • 2. Qty: The quantity of each product needed.
  • 3. Content: Details about the product contents.
  • 4. SLP: Suggested list price for each product.
  • 5. Account Information: Your account name and number for record-keeping and billing purposes.
  • 6. Total Qty: The total quantity of products ordered.
  • 7. Product Total: The overall cost of the ordered products.

What happens if I fail to submit this form?

Failure to submit this form may result in order processing delays and inventory shortages.

  • Order Delays: Delays in processing your order which may affect product availability.
  • Inventory Shortages: Potential shortages in your clinic or practice due to unprocessed orders.

How do I know when to use this form?

Use this form when placing orders for healthcare products listed in the document.
fields
  • 1. Product Orders: For ordering healthcare products and ensuring accurate procurement.
  • 2. Price Reference: To reference the suggested list prices of various products.

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Health Care Professional Order Forms and Suggested List Prices

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