|Classification / Identification:|
| ||Form Number:||014-4495-97E||Edition date: ||2017/10 |
| ||Title:||OGPMSS Requisition for Medical Supplies|
| ||Ministry:||Health|| || |
| ||Branch/ABC:||Supply Chain and Facilities Branch|| || |
| ||Program:||Ontario Government Pharmacy/Procurement|| || |
| ||Purpose of Form:||Use this form if you are an eligible OGPMSS client and wish to order medical supplies from OGPMSS. You are required to complete the form in its entirety for your orders to be processed.|| || |
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