Please tell us about your organization!
Thank you for your interest in the HLS MedFreight program. Please take a moment to complete the information below. An HLS MedFreight associate will contact you soon to help you take the next step to control your freight costs!
If you have any questions or would rather talk to us directly, you can call the HLS MedFreight Customer Care team at 866-HLS-HLS9 (866-457-4579). We would be happy to talk to you!
	* -Indicates information is needed. Thank You
*Health System Name
Materials Management VP
Materials Management VP Phone
Materials Management Director
Materials Management Director Phone
*Your Name
*Title
*Phone Number
*Email
*City, State Zip	, AK AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY
*Total Number of Hospitals
*Total Number of Beds
GPO

  Thank You!