Chat with us, powered by LiveChat

banner

Search
Shopping Cart 0 Products $0.00

Know Our Customer

Questionnaire Form

In compliance with DEA regulations and best practices, we are required to understand our customers and their business in relation to List 1 chemicals and controlled medications. We must receive the completed document below before we can ship your order.

Step 1

Download and Complete the Know Our Customer Questionnaire Form

DOWNLOAD KYC FORM

Step 2

Send Completed Forms to HealthFirst

Stay Informed

For More Information

Learn more about the process whereby we review List 1 chemical and controlled substance orders before approving purchase.
LEARN MORE
Need help?

Connect with a member of our team

We’re here to answer your questions and get you the help you need.

"*" indicates required fields

REGISTER NOW

Annual Federal OSHA & HIPAA Certification

Price: $90.00
Price: $25.00
Customer Name(Required)
This field is hidden when viewing the form
Emails
Customer Shipping Address(Required)
Emergency Readiness Circle

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.
Learn more
  • Check Small Graphic
    Up-to-date readiness dashboard
  • Check Small Graphic
    Enterprise view for larger organizations’ view for DSOs, networks and groups
  • Check Small Graphic
    Online compliance documentation
  • Check Small Graphic
    Easy task management

YOUR COMPLIANCE COVERED

  • Med Expiration Tracking Compliance Icon
    Medication Expiration Date Tracking
  • Auto Replenishment Compliance Icon
    Auto-Replenishment
  • Multiple Offices Icon
    Track Multiple Departments and Facilities
ADR Map McKesson
ADR Map Generic
ADR Map HS