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Home
Health Care Order Form |
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To: |
Specialist Medical
Supplies |
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Unit 2, 1 Talaverra Rd
North
Ryde, NSW, Australia
2113 |
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Ph: 02 9889-2533 Fax: 02
9889-1780 |
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From: |
Name: |
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Delivery
Address: |
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Contact
Phone No:
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Order
No. |
(if applicable) |
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Order Date:
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PAYMENT DETAILS
I wish to pay for this order by:  VISA MASTERCARD
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Code |
Product
Description |
Unit |
Qty |
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SAN66000791 |
ACTICOAT 3DAY 10X10 |
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SAN20381 |
ACTICOAT ABSORB 10CM X 12.5CM |
EA
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SAN20381 |
ACTICOAT 7 DAY 10CMX12.5CM |
EA
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JAJMP105 |
ACTISORB PLUS 10.5CMX10.5CM |
EA |
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JAJ002012 |
ADAPTIC 9.5CMX9.5CM |
ES |
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SAN66000520 |
ALGASITE M 5CMX5CM |
EA |
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SAN66000519 |
ALGISITE M 10CMX10CM |
EA |
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SAN66007643 |
ALLEVYN 5CMX5CM |
EA |
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SAN66000043 |
ALLEVYN 7.5CM |
EA |
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SAN66007637 |
ALLEVYN 10CMX10CM |
EA |
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SAN66000044 |
ALLEVYN ADH 12.5CM |
EA |
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PH1731841 |
APINATE DRESSING |
EA |
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CON177902 |
AQUACEL 10CMX10CM |
EA |
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CON403708 |
AQUACEL AG 10CMX10CM |
EA |
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C0N403706 |
AQUACEL AG 5CMX5CM |
EA |
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PH499573 |
ATRAUMAN AG 10X10 |
EA |
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PH499536 |
ATRAUMAN 10 X 20CM |
EA |
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SG2180/1 |
BASIC DRESSING PACKS |
EA |
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COL3430 |
BIATAIN 10X10 |
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COL3420 |
BIATANE ADHESIVE 12CMX12CM |
EA |
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COL3423 |
BIATANE ADHESIVE 18CMX18CM |
EA |
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COL3410 |
BIATANE FOAM 10CMX10CM |
EA |
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COL3413 |
BIATANE FOAM 15CMX15CM |
EA |
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JAJ12010 |
COMBINE ROLL 9CMX10M |
EA |
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MLT09-889P |
COMBINES 10X20CM |
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COL3533 |
COMFEEL/TRANS 10CMX10CM |
EA |
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COL3110 |
COMFEEL ULCER 10CMX10CM |
EA |
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COL3213 |
COMFEEL ULCER 10CMX10CM |
EA |
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BDF1028 |
COMPRILAN BANDAGE 10CM |
EA |
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COL9628 |
CONTREET FILLER 5X8CM |
EA |
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COL9622 |
CONTREET FOAM 10CMX10CM |
EA |
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COL9610 |
CONTREET H 10CMX10CM |
EA |
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GHCWB004 |
CREPE BANDAGE 10CM |
EA |
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JAJ16100 |
DAYLEE TOWELS (100) |
BOX |
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CONH7990 |
DUODERM CGF 10CMX10CM |
EA |
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CON1450 |
DUODERM PASTE 30GM |
EA |
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CONH7660 |
DUODERM X THIN 10CMX10CM |
EA |
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SAN5999003 |
EXUDRY 8CM |
EA |
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BDF2037 |
FIXOMULL 10CM |
ROLL |
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BDF2036 |
FIXOMULL 5CM |
ROLL |
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GHCGS001 |
GAUZE SWABS 7.5CM |
PKT/100 |
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SAN71443-1 |
HYPAFIX 10CM |
ROLL |
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SAN1443-2 |
HYPAFIX 5CM |
ROLL |
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JAJP10951 |
INADINE 9.5CMX9.5CM |
EA |
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98-000-2612 |
INSUFLON CANNULAS |
EA |
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SAN7311 |
INTRASITE GEL 15GM |
EA |
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| SAN7313 |
INTRASITE GEL 25GM |
EA |
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| SAN7308 |
INTRASITE GEL 8GM |
EA |
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| SAN66051340 |
IODOSORB 10GM (8CM X 6CM) |
EA |
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| SAN66051330 |
IODOSORB 5GM (6CM X 4CM) |
EA |
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| SAN66051240 |
IODOSORB OINTMENT 10GM |
EA |
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| SAN7450 |
JELONET 10CMX10CM |
EA |
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| CON1682-F5 |
KALTOSTAT 10CMX20CM |
EA |
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CON1682-F7 |
KALTOSTAT 5CMX5CM |
EA |
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| SET311000 |
KALTOSTAT 7.5CMX12CM |
EA |
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| SAN4941/1 |
MEFIX 10CMX10CM |
ROLL |
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| SAN4939/1 |
MELOLIN 10CMX10CM |
EA |
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| SAN4940/1 |
MELOLIN 10CMX20CM |
EA |
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| SS284100 |
MELOLIN 5CMX5CM |
EA |
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| SS295300 |
MEPILEX LITE 7.5CMX7.5CM |
EA |
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| SS292200 |
MEPILEX BORDER 10CMX10CM |
EA |
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| SS294100 |
MEPILEX BORDER 7.5CMX7.5CM |
EA |
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| SET290510 |
MEPILEX 10CMX10CM |
EA |
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| SET290710 |
MEPITEL 5CMX5CM |
EA |
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| SET677001 |
MEPITEL 7.5CMX10CM |
EA |
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| SET677401 |
MESORB 10CMX10CM |
EA |
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| SET677801 |
MESORB 10CMX20CM |
EA |
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| 3M1530-0 |
MESORB 30CMX20CM |
EA |
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3M1530-0 |
MICROPORE TAPE 12MM |
ROLL |
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| 3M1530-1 |
MICROPORE TAPE 25MM |
ROLL |
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| 3M1530-2 |
MICROPORE TAPE 50MM |
ROLL |
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| JAJ60088 |
MICROSHIELD ANTI MICRO GEL |
BTL |
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| JAJ61117 |
MICROSHIELD MOIST LOTION 500ML |
BTL |
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| SAN7224 |
SOFBAN 10CM |
ROLL |
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| JAJ10336 |
SOLUGEL 100GM |
EA |
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| JAJ10337 |
SOLUGEL 50GM |
EA |
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| PM8000 |
STERILE WATER AMPOULES |
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| SET3610 |
STERIPASTE 10CM |
ROLL |
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| 3M1626W/1 |
TEGADERM 10CMX12CM |
EA |
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3M1624W/1 |
TEGADERM 6CMX7XCM |
EA |
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| JAJMT2440 |
TIELLE 11CMX11CM |
EA |
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| JNJ8072 |
TOPPER GAUZE STERILE |
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| JAJM53407N |
TOPPER GAUZE 7.5CMX7.5CM |
EA |
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| SET2438 |
TUBIFAST BLUE |
ROLL |
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| SET2436 |
TUBIFAST GREEN |
ROLL |
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| SET1450 |
TUBIGRIP D |
EA |
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| PHM931-680 |
VENO 4 |
EACH |
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| SAN4948 |
VISCOPASTE 7.5CM |
EA |
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