Heartland Connect
Idaho Falls
Boise
Denver
Salt Lake City
Resources & News
Switching to Heartland
Services
Pharmacogenetics
Synergy360
About Us
Careers
Contact
Menu
Heartland Connect
Idaho Falls
Boise
Denver
Salt Lake City
Resources & News
Switching to Heartland
Services
Pharmacogenetics
Synergy360
About Us
Careers
Contact
Facebook
Instagram
Twitter
Linkedin
Equipment Request Form
Once this ticket has been submitted, a Heartland Pharmacy representative will contact you for solutions, costs and additional information regarding your equipment.
Name
(Required)
Phone
(Required)
Email
(Required)
Community Name
(Required)
Community Address
(Required)
Scanner Issues:
Med Cart Serial Number:
Lock Issues:
Keys:
Narc Box/Drawer
Sharps
Main Cart
Rails:
Additional Equipment Requests:
More Information:
For laptop and fax machine questions, trouble shooting, etc. please call Treasure Valley IT at 208-367-1000 or help@tvit.net.
*Please be aware that service fees and charges may apply to this ticket and request.
Fill out the form below to get a quick, reliable answer.
Name
*
Phone
Email
*
Community Name
Community - Vaccine Resident
Community - Vaccine Staff
Vaccination Type
*
Requested Vaccination
COVID-19
Flu
Pharmacy location
*
Location of servicing pharmacy
Idaho Falls
Boise
Colorado
Utah
Message
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
Facebook
Instagram
Twitter
Linkedin
Fill out the form below to get a quick, reliable answer.
Name
*
Phone
Email
*
Community Name
Community - Vaccine Resident
Community - Vaccine Staff
Pharmacy location
*
Location of servicing pharmacy
Idaho Falls
Boise
Colorado
Utah
Message
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.
Facebook
Instagram
Twitter
Linkedin