Request edit access
PSC Equipment & Supplies Request Form
Please email Michael at
if you have any questions or don't hear back from me within 2 days
Date of the Event
Which health fair supplies do you need?
Omron HBF-510W Full-Body Sensor Body Composition Monitor and Scale/BMI machine (1 avail)
Bayer Blood Glucose Monitor (6 avail)
Bayer Blood Glucose Test Strips (check avail)
One Touch Ultra Blood Glucose Test Strips (check avail)
Accu-check single-use disposable lancets (check avail)
Omni Blood Pressure Monitor (3 avail)
Gloves (S/M/L, non-latex )
Band-aids (box of 60/100)
Alcohol swabs (box of 60/100)
Alcohol hand sanitizer (check avail)
Tri-fold Poster Board (small size)
4-Ply White Poster board
Freestyle Lite test strips
Home Sharp Container
Please state what quantities of the above supplies if you need more than one (i.e. how many test strips)
Any other concerns/questions/notes for PSC?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service