FORM HD-268E, REV 01/23, Maternity Ultrasound Voucher, printed on 2 PRT NCR, White/Yellow paper, blk… and 17 more items
Ended State & local contract award Florida Awarded
- Contract number
- EP478533
- Awardee
- Not on record
- Contracting organization
- Department of Health
- Contract amount
- $1,277
Award facts
- Completion date
Award details come from facts.fldfs.com. Updated .
About this award
The Florida Department of Health has awarded a contract (EP478533) for the procurement of specialized medical and administrative forms, valued at $1,277.20. The contract, effective from October 9, 2025, to January 31, 2026, focuses on the acquisition of various prenatal and healthcare-related documentation. Specific line items include Maternity Ultrasound Vouchers (Form HD-268E), Laboratory Results forms (Form HHD-3142 E), Prenatal History and Record forms (HHD-3142 E-PG 1 and HHD-3142 E-PG 3), Prenatal Record Addendum (HHD-3142 E-PG 3 A), and bilingual Client Intake Forms (HD 33 E & HD 33 E-SP).
The forms are meticulously specified, with detailed requirements for paper type, color, printing orientation, and packaging. Quantities range from 3 to 10 packs per form type, with pack sizes varying from 100 to 250 sheets. The forms are designed for various healthcare documentation purposes, predominantly related to maternal and prenatal care, and include both English and Spanish language versions. The contract demonstrates the Department of Health's commitment to maintaining comprehensive, standardized documentation for medical services and client interactions.
Line items
| Item | Total |
|---|---|
| FORM HD-268E, REV 01/23, Maternity Ultrasound Voucher, printed on 2 PRT NCR, White/Yellow paper, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 250 | $299.70 |
| FORM HD-268E, REV 01/23, Maternity Ultrasound Voucher, printed on 2 PRT NCR, White/Yellow paper, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 250 | $299.70 |
| FORM HD-268E, REV 01/23, Maternity Ultrasound Voucher, printed on 2 PRT NCR, White/Yellow paper, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 250 | $299.70 |
| Form HHD-3142 E, Rev 02/25, Laboratory Results, printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E, Rev 02/25, Laboratory Results, printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E, Rev 02/25, Laboratory Results, printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 1, Rev 11/08, Prenatal History (HD-3142E-PG 1), printed on 20 # bond, blk ink, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 1, Rev 11/08, Prenatal History (HD-3142E-PG 1), printed on 20 # bond, blk ink, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 1, Rev 11/08, Prenatal History (HD-3142E-PG 1), printed on 20 # bond, blk ink, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 3, Rev 03/18, Prenatal Record (HD-3142E-PG 3), printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 3, Rev 03/18, Prenatal Record (HD-3142E-PG 3), printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 3, Rev 03/18, Prenatal Record (HD-3142E-PG 3), printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 3 A, Rev 08/15, Prenatal Record Addendum (HD-3142E-PG3A), printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 3 A, Rev 08/15, Prenatal Record Addendum (HD-3142E-PG3A), printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HHD-3142 E-PG 3 A, Rev 08/15, Prenatal Record Addendum (HD-3142E-PG3A), printed on 20 # white bond, blk ink, 1 sided, 8-1/2 x 11, 2 hole punch on top, pack of 100 | $195.00 |
| Form HD 33 E & HD 33 E-SP,Rev 11/13 & 09/18, Client Intake Form, English/Spanish Printed on Golden Rod Paper stock, blk ink, 2 sided, head to head English on one side and Spanish on the other side. Landscape, pack of 100 | $197.50 |
| Form HD 33 E & HD 33 E-SP,Rev 11/13 & 09/18, Client Intake Form, English/Spanish Printed on Golden Rod Paper stock, blk ink, 2 sided, head to head English on one side and Spanish on the other side. Landscape, pack of 100 | $197.50 |
| Form HD 33 E & HD 33 E-SP,Rev 11/13 & 09/18, Client Intake Form, English/Spanish Printed on Golden Rod Paper stock, blk ink, 2 sided, head to head English on one side and Spanish on the other side. Landscape, pack of 100 | $197.50 |
Show all 18
Quick answers
How much is contract EP478533 worth?
Its contract amount is $1,277.
Which organization awarded contract EP478533?
Department of Health in Florida awarded contract EP478533.
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