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Membership Order Form

Henry Schein STAT KIT® Emergency Medical Kits

View membership benefits and terms below the order form.

Enter a quantity of kits you would like to order. Your pricing will be provided by your Henry Schein representative.

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Kit Model Quantity Yearly (one payment)
HSM 550 (150-0966)
HSM 550-AI (150-0965)
STAT KIT 650
STAT KIT 750 (145-9617)
STAT KIT 750-AI (145-9615)
STAT KIT Z-1000 Mobile ACLS (145-9622)
STAT KIT SM5 (150-1690)
STAT KIT SM7 (145-9623)
STAT KIT SM10 (145-9619)
STAT KIT SM27 (145-9620)
STAT KIT SM30 (145-9621)
Yearly Total : $0.00


Customer Information

*Required field

Full Program Terms and Conditions found here: STAT KIT® Emergency Medical Kit Membership Terms and Conditions

I have read and am authorized to agree to the STAT KIT® Emergency Medical Kit Membership Terms and Conditions, which include auto-renewal of the annual membership fee.*

Program Details

STAT KIT Emergency Medical Kit Membership

By joining the Emergency Medication Management Program, you will receive these benefits:

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    Automatic Replenishment*
Included in the cost of the Program is automatic tracking and replenishment of medications prior to expiration as well as replacement of any medications in STAT KITS which are used in up to two (2) emergency events per year.
*Replenishment and replacement of any medications in STAT KITS are subject to availability and may be affected by market shortages or other supply disruptions.
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    Shipping, Processing and Medication Disposal Included
The cost of replenishment and replacement medication shipments and disposal are included in the cost of the Program without any additional charge.
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    Advance Notification
HealthFirst will provide notification before medication replenishments are shipped to you.
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    Predictable Payment Plan
A known cost to maintain your emergency kit readiness for the chosen service period.
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    No Long-Term Contract

An initial one-year term is required. The Program will automatically renew for each subsequent one-year term. You may cancel prior to an automatic renewal by simply calling HealthFirst more than 60 days prior to the next automatic renewal. You may choose to be invoiced in advance on an annual basis for each one-year term.

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    OnTraq
Leverage this powerful HealthFirst tool to access a suite of benefits at no additional charge.
  • Equipment and Medication Tracking
  • Automated Employee Task Assignment
  • Consolidated and Detailed Data to Monitor Multiple Facilities
  • View Account Details and Pay Bill Online

REGISTER NOW

Annual Federal OSHA & HIPAA Certification

Price: $90.00
Price: $25.00
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Get Started With OnTraq

Emergency Readiness

OnTraq is an online application that uses smart automation to link directly to HealthFirst’s solutions, helping you save time on tracking, reporting, documentation and task management.
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    Up-to-date readiness dashboard
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    Enterprise view for larger organizations’ view for DSOs, networks and groups
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    Online compliance documentation
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    Easy task management

YOUR COMPLIANCE COVERED

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    Medication Expiration Date Tracking
  • Auto Replenishment Compliance Icon
    Auto-Replenishment
  • Multiple Offices Icon
    Track Multiple Departments and Facilities