First Aid Order Form

The Center to Promote HC, Inc.

Regular inspection of your ITU AbsorbTech First Aid cabinets helps your facility with OSHA and ANSI compliance. Please use this form to inspect your first aid supplies and email to your service representative.

Order Form (Excel Worksheet):

Oakland

Phoenix

Sacramento

How to Order:

• Print and take the order form to each first aid cabinet.
• Use the order form to check if each item is currently represented, and with the proper quantity.
• If any ITU AbsorbTech first aid item (package) is missing or less than half full, please order replacement stock.
• Check any item that has an expiration date (highlighted in green on your order form) to ensure no expired items stays in your ITU AbsorbTech first aid cabinet.
• If an item is expired, please discard and order replacement stock.
• Scan and email your order form to your service representative.
• You will receive a confirmation email once your order has been received.