Prehospital Care Order Form: Process and Instructions

Thank you for using the Prehospital Care Ordering Form  (30K). Please download this form; fill it out; print it; and mail it to us by May 1, 2009 with your check or money order.

Then we can have the goods printed and delivered to you by June 2007.

Orders must be accompanied by a check or money order. Also, please include a street address, because UPS cannot deliver to a PO Box.

Make your check payable to:

Oregon Public Health -- EMS

and mail to:

Oregon Public Health
Business Services - 465
PO Box 14260
Portland, OR 97293-0260

If you have any questions, please e-mail ems.trauma@state.or.us, or call (971) 673-0522. All orders are still on a prepaid basis.

Thank you.