Once your SHARPS container is about half full, it’s time to order a new one. Fill in the form below to re-order your next free kit.
Patient’s information
If you are completing this order form on behalf of someone else, please provide the information below for the person who is receiving treatment.
Required fields are indicated with a red asterisk (*)
https://www.enlivenservices.com/ra/ongoingsupport/forms/sharps-container.jsp