First Aid Product Registration

PhysiciansCare makes care easy by keeping track of the kits you own so you are always R E A D Y.
  Register your kits
  Enroll in the PhysiciansCare replenishment reminder program
  Audit contents on a scheduled basis.
  Dispatch you reorder via the PhysiciansCare replenishment service (www.buyphysicianscare.com)
  You receive the items you need to keep your kits READY

When you register your kits, you are making sure they are not out of supplies when you need them. In many work environments first aid kits are neglected and as a result are missing critical items when you need them most. Registration also makes it possible for us to contact you in the unlikely event that an item needs to be replaced due to a recall or change in specification.

Registration is free and only takes a few minutes. Your information will not be shared or sold.

Register NOW so you are READY.

Two convenient ways to register:
1. Click on this link for a downloadable form to mail to PhysiciansCare:
2. Complete the online form below.

PhysiciansCare Replenishment Reminder Program Registration

First Name:
Last Name:
Company or Organization  (Option: Personal or Family):
Address 1:
Address 2:
City:
State:	selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
*Zip Code:
Country:
E-Mail Address:
Name of Product Purchased:
Item Number:
Quantity:
Date (mm/dd/yy):
Purchased from:	My company required this item to be purchased through this supplier.
Location of use (check all that apply)
Office  School  Workplace  Car, Truck, Van  On the go	Day care  Home  Job site Other:
Reason for purchase (check all that apply)
Replace old kit  Update old kit  New office  New car, truck, van  Increase in staff  Advertisement	Recommended by staff  Recommended by supervisor  Required for compliance  Had an incident  News Other:
Number of people served by kit:
Replenishment reminders:
	YES I would like to receive e-mail reminders to check kit contents
	No thanks, I will set up my own reminder