• MCFRS EMS Supply Order Form

    For supplies that come direct from EMS Logs or are unavailable on Boundtree

  • To report defects with LifePak 15, LUCAS device, AED, Portable Suction, Airtraq, or CPAP devices, please click HERE for the defect entry form.

  • Today's Date*
     / /
    2 digit month, 2 digit day, 4 digit year

  • ***Federal Stations are not on our courier route and will need to come to EMS Logistics to pick up***

  • What types of supplies are you ordering today?*
  • Gloves (Ordered by the CASE; 10 boxes per CASE)
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  • PLEASE NOTE:

    Surgical Masks - Intervals of 50 (Example: if you want 200, order 200)

    KN95's - Intervals of 10 (Example: If you want 9, order 10)

    N95's - Intervals of 20 (Example, if you want 30, order 40)

    Gowns - Intervals of 10 (Example, if you want 18, order 20)

    Face Shields - Intervals of 10 (Example, if you want 15, order 20)

  • PPE/Covid
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  • Lifepak 15 Supplies
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  • I need one of the following:
  • AED Supplies
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  • LUCAS Supplies
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  • I need one of the following:
  • IV/IO Supplies
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  • Note: All I-Gel and Disposable CPAP supplies are available on Boundtree.

  • Airtraq/CPAP Supplies
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  • Medications
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  • TECC Supplies
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  • Immobilization/Splinting
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  • Warehouse Overstock (Items that were deleted from boundtree order)
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  •   
  • Should be Empty: