Efficient, Comfortable, Low-cost Solutions. Designed for dialysis patients

See what patients are saying:
"I am a patient ... in New Jersey. I am getting the treatment of Photopheresis , for side effects of a bone marrow transplant. I am very sensitive to certain products to use on the IV after treatment. Your Hemo product is wonderful. It works well and is tolerable to have on. I hope the establishment where the product was used gets more!"

Order Form - HEMO / ClearBand

 

For Health Care Providers Only

Samples of any product will only be sent to recognized health care providers.

Complete and submit the form below or fax your purchase to 503.620.8336.
Credit Card Ordered must be faxed or called in to 800.345.0363.

------------

*FIELDS REQUIRED
PO# (not requried for CC unless VAMC)
Date

BILLING INFORMATION
*Company Name
*Address
*City
*State
*Zip
*Phone

SHIPPING INFORMATION
  
Company Name
Address
City
State
Zip
Phone
UPS FREIGHT COLLECT CUSTOMER #
UPS Delivery

  
FED EX FREIGHT COLLECT CUSTOMER#
Fed Ex Delivery
I4D preferred method of shipment is UPS. However, FedEX is available on a Freight Collect Basis and account number must be provided.

HEMO
ITEM
DESCRIPTION
# of BOXES
PRICE
TOTAL
HEMO I

HEMO I Access Site Dressing - 1 pad per pouch

 $15.00
HEMO II HEMO II Access Site Dressing - 2 pads per pouch $18.00
Minimum Order is 3 boxes
All HEMO products are packaged 10 per box.
Boxes contains 10 individual pouches.

ClearBand

Non-Sterile

CB 7514 - 14 Inch

CB 7517 - 17 Inch

CB 7521 - 21 Inch
QTY
EACH
TOTAL
QTY
EACH
TOTAL
QTY
EACH
TOTAL
   


$4.50 $225    


$5.00 $250    


$5.50 $275
$4.00 $400 $4.50 $450 $5.00 $500
$3.50 $700 $4.00 $800 $4.50 $900

I4D will ship all in-stock orders within 1-2 days after we receive your order. All in-stock are shipped FOB Portland, Oregon and the charges are added to your invoice.

All orders must include complete shipping information and PO#.