Stradis Healthcare: Customized Dental Packs

Customizable Dental Packs

Stradis Healthcare carries gloves, face masks, sponges, paper products, bibs, cups, disinfectants, sterilants, barrier products, handcare products, autoclave bags, and much more. Submit the following form for a free sample kit or if your email does not support forms you can print and fax this form to 770.962.2391 or call us at 1-800-886-PAKS (7257).

	Requestor:
Name
Address
City	St. Zip
Phone
Email
	Ship To (Leave Blank if the Same)
Name
Address
City	St. Zip
Phone
Email

Qty	Item	Description (Select One of Each)
	Foam Tray
	2x2 Sponges	Nu-Gauze	Non-Wvn	Filled
	Cotton Rolls	Quilted	Non-Quilted
	Cotton Pellets
	Saliva Ejector	White	Clear
	Cotton Tip Applicators	6"	3"
	HVE Tip	Slotted	Non-Slotted
	A/W Syringe Tip	Sani-Tip	Safe-Tip EZ
	A/W Syringe Sleeve	Blue	Clear
	Light Handle Cover	4x6B	4x6C	TBar
	Bib, Patient	2-Ply	13x18	Color
		3-Ply	17x18
	Headrest Cover	White	Poly-Reg	Poly-LG
	Gloves	XSM	S	M	LG
	Gloves	XSM	S	M	LG
	Mask	Eloop	Cone	Other
	Mask	Eloop	Cone	Other
	Wrap	CSR 20x20	Poly 20x20
	Other Item (Describe):
	Other Item (Describe):
	Other Item (Describe):
	Notes/Remarks

CUSTOM SURGICAL SOLUTIONS

1-800-886-7257

Create your
Custom Packs Here