Form - HD-211-OB, rev dateFront 11-21,Back 7/19 MATERNITY ENCOUNTER Form,,Printed on, 2 part NCR… and 11 more items
Ended State & local contract award Florida Awarded
- Contract number
- EP458645
- Awardee
- Not on record
- Contracting organization
- Department of Health
- Contract amount
- $2,351
Award facts
- Completion date
Award details come from facts.fldfs.com. Updated .
About this award
The Florida Department of Health awarded a contract (EP458645) on August 13, 2025, with a completion date of September 13, 2025, for the procurement of various printed medical forms and documentation materials. The contract's total value is $2,350.75, encompassing multiple line items for specialized healthcare encounter and registration forms, including HD-211-OB Maternity Encounter Forms, HD-211-U Non-Maternity Encounter Forms, HD-028E Client Registration Forms (English), and HD 007 E Appointment Cards with QR codes.
The specific product specifications include two-part NCR forms in white/yellow with black ink, sized 8.5 x 11 inches and 5.5 x 8.5 inches, printed on various paper stocks and packaged in quantities of 250 or 100 per pack. The line items detail multiple quantities of each form type, with unit prices ranging from $16.50 for appointment cards to $152.25 for encounter forms. The contract appears to be a standard procurement for standardized medical documentation materials to support the Florida Department of Health's administrative and patient tracking needs.
Line items
| Item | Total |
|---|---|
| Form - HD-211-OB, rev dateFront 11-21,Back 7/19 MATERNITY ENCOUNTER Form,,Printed on, 2 part NCR, White/Yellow, black ink, 8.5 x 11, 2 holes TDC, 2 sided head to head, pack in 250's | $913.50 |
| Form - HD-211-OB, rev dateFront 11-21,Back 7/19 MATERNITY ENCOUNTER Form,,Printed on, 2 part NCR, White/Yellow, black ink, 8.5 x 11, 2 holes TDC, 2 sided head to head, pack in 250's | $913.50 |
| Form - HD-211-OB, rev dateFront 11-21,Back 7/19 MATERNITY ENCOUNTER Form,,Printed on, 2 part NCR, White/Yellow, black ink, 8.5 x 11, 2 holes TDC, 2 sided head to head, pack in 250's | $913.50 |
| Form - HD-211-U, rev dateFront 04/25,Back 08/23 NON MATERNITY ENCOUNTER Form,,Printed on, 2 part NCR, White/Yellow, black ink, 8.5 x 11, 2 holes TDC, 2 sided head to head, pack in 250's 5 152.25 761.25 | $761.25 |
| Form - HD-211-U, rev dateFront 04/25,Back 08/23 NON MATERNITY ENCOUNTER Form,,Printed on, 2 part NCR, White/Yellow, black ink, 8.5 x 11, 2 holes TDC, 2 sided head to head, pack in 250's 5 152.25 761.25 | $761.25 |
| Form - HD-028E, rev date 05/23, Client Registration Form English, pack in 250's, 10 packs, 20#, white, black 5.5 x 8.5, 2 sided, head to head. | $346.00 |
| Form - HD-028E, rev date 05/23, Client Registration Form English, pack in 250's, 10 packs, 20#, white, black 5.5 x 8.5, 2 sided, head to head. | $346.00 |
| Form - HD-211-U, rev dateFront 04/25,Back 08/23 NON MATERNITY ENCOUNTER Form,,Printed on, 2 part NCR, White/Yellow, black ink, 8.5 x 11, 2 holes TDC, 2 sided head to head, pack in 250's 5 152.25 761.25 | $761.25 |
| Form - HD-028E, rev date 05/23, Client Registration Form English, pack in 250's, 10 packs, 20#, white, black 5.5 x 8.5, 2 sided, head to head. | $346.00 |
| Form HD 007 e RV 04/22, appt cards with QR code, printed on 80 # white card stock, 2 sided, head to head,black INK, stard b/c size 2 x 3-1/3 pack of 100 | $330.00 |
| Form HD 007 e RV 04/22, appt cards with QR code, printed on 80 # white card stock, 2 sided, head to head,black INK, stard b/c size 2 x 3-1/3 pack of 100 | $330.00 |
| Form HD 007 e RV 04/22, appt cards with QR code, printed on 80 # white card stock, 2 sided, head to head,black INK, stard b/c size 2 x 3-1/3 pack of 100 | $330.00 |
Show all 12
Quick answers
How much is contract EP458645 worth?
Its contract amount is $2,351.
Which organization awarded contract EP458645?
Department of Health in Florida awarded contract EP458645.
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