Become a Customer
The following phases outline the process of becoming a customer with Smith Medical Partners.
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Facility Completes Application and Agrees to Terms and Conditions
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HIN Number, State and DEA Licenses are Verified
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Payment Schedule and Terms are Reviewed
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GPO Contract Designation Form is Submitted if the Facility has a GPO Affiliation
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References and Credit Check are Verified
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Contract Loading and Verification
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Usage History is Provided and Inventory Levels are Established
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Verify Product Inventory
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Account Number Provided
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Standard Delivery Preferences Established
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Order Preferences Determined
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Facility Initiates Ordering
GPO Procedures
If your facility is a member of a Group Purchasing Organization (GPO) please download and complete the GPO form and fax back with the New Account Application.
Contract Exclusivity
Use the forms below to indicate contract exclusivity.
AstraZeneca Customer Alternate Care Acceptance Form AstraZeneca GPO Declaration Form
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