Forms

Bound Tree Medical would like to make the purchasing process as simple as possible. To help ensure fast, dependable service, a number of forms have been created in PDF format for you to download. You may fax completed forms to 800.257.5713. If you have any questions or need assistance completing any of the forms, please contact Customer Service or your Account Manager.

  • Order Form – Submit an order.
  • Account Application – Federal government and law enforcement agencies may purchase on open account, pending application.
  • License Authorization Form (LAF) – Submit Medical Director and/or Pharmacist-in-Charge authorization for approval to purchase prescription drugs, controlled substances and/or medical devices.
  • Controlled Substance Ordering Guidelines – Bound Tree Medical requires a License Authorization Form (LAF), current license/certificate and a Federal DEA 222 Form to process controlled substance orders. Please follow these instructions for completing the Federal DEA 222 Form.
  • NSN Reference Sheet – Find item numbers, short descriptions and NSN numbers for tactical medical equipment.
  • Contract Information Sheet – View Strategic Response Division contract information, addresses and reference information.
  • Electronic Invoice Signup Form - Signup to receive email copies of your invoices.