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 |   Wearables
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Discovery Isle Login

Forms Order

( Click Here to View List of Available Files )

Please make sure you enter your PO number, Name, Phone and Email.

Page Number:
Title:
Quantity:
Ship To:
Comments:
PO Number with prefix:
     
Name:
     
Phone:
     
Email:
     
 
 

 

Tabs Order

-- Please review the chart and mark the quantity needed and site needed at and hit submit --

Please make sure you enter your PO number, name, phone and email.

Title, Position and Color
Quantity
Site
Left Side of Chart
  
Patient Information - Position 1 - 615 Lt. Green
Disease Management - Position 2 - 525 Coral
Health Maitenance - Position 3 - 115 Gray
Lab - Position 4 - 425 M. Blue
Vaccines - Position 5 - 105 Clear
X-Ray/EKG - Position 6 - 205 Red
Consults - Position 7 - 305 Gold
Old Records - Position 8 - 805 Purple
Position 9
     
Right Side of Chart
  
Consents - Position 1 - 505 Orange
Forms/Letters - Position 2 - 405 D Blue
Prenatal - Position 3 - 915 Brown
Insurance Information - Position 4 - 695 D. Green
Case Management - Position 5 - 625 M. Green
RX's/Scripts - Position 6 - 705 Pink
 
 
Confidential (Blank) - Position 9 - White (Clear)
PO Number with prefix:
Name:
Phone:
Email:

 

Business Card Order

-- Please Follow the Guide Below --

Please make sure you enter your PO number, Name, Phone and Email.

 

-- Please Fill in the Corresponding Fields Listed and Exampled in the Above Diagram and hit submit --

(1) Your Name, MD or ?:
(2) Your Specialty or Title?:
(3) Your Address & Suite #:
(4) Your City, CA & Zip Code:
(5) Office (area code) Phone #:
(6) Direct Phone # (if needed):
(7) Your Fax #:
(8) Your required email:
Check here if you would like: Mission Statement back
Check here if you would like: Appointment Card back
Quantity:
PO Number with PREFIX:
Name:
Phone:
Email:


Rubber Stamps

( Please fill out the form below )

Please make sure you enter your PO number, Name, Phone and Email.

 
Order #1
Order #2
Order #3
Order #4
Quantity:
Ink:
Site:
Ideal:
Text Line 1:
Text Line 2:
Text Line 3:
Text Line 4:
Text Line 5:
PO Number with prefix:
     
Name:
     
Phone:
     
Email: