To receive a copy of your order upon order submission, please input an accurate outlook email address.

  • Complete all fields
  • Support Required? Please email ppe.requisitions@easternhealth.ca
  • Select supply Items required from the stock list. For each PPE being requested from the stock list, QTY Ordered, QTY on Hand & Daily Usage must also be entered
  • PRESS SUBMIT & AWAITNG CONFIRMATION MESSAGE

Clinic / RHA is required.
Request Type is required.
Requestor Name is required.
Site is required.
Department Number is required.
Department Name is required.
Manager Name is required.

QTY Ordered Ordered Type QTY On Hand On Hand Type Daily Usage Description Stock #
QTY Ordered Ordered Type QTY On Hand On Hand Type Daily Usage Description Stock #
QTY Ordered Ordered Type QTY On Hand On Hand Type Daily Usage Description Stock #

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