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Order (Use additional forms when requesting different resource sources of supply.) the requested items.
Medical/Health Resource Requesting* Field level providers should contact the applicable MHOAC Program (utilizing locally established resource requesting procedures/tools) to request medical/health resources they are unable to obtain through established vendors, day-to-day mutual aid process, corporate relationships, or pre-existing agreements.
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Healthcare providers, healthcare support agencies and government agencies can request PPE and testing equipment via this form. The form can be customized easily using our form builder. It's time to get a formal project request form set up.
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