Help us Get to Know YouPage 1 ContactID AccountIDBusiness InformationPlease confirm your first name, last name and job title. First Name Last Name Email Address Job Title Job FunctionPlease select…Accounts PayableCEO/OwnerClinical SpecialistFinanceManager/Director of CarePurchasingNurse PractitionerReceptionistOther Other – Please define Are there other contacts at your organization?Please select…YesNoAdditional Contacts First Name Last Name Job Title Email Address Job FunctionPlease select…Accounts PayableCEO/OwnerClinical SpecialistFinanceManager/Director of CareNurse PractitionerPurchasingReceptionistOtherPage 2About Your Organization What do you consider most important when selecting your healthcare supplies provider? How many different suppliers do you currently purchase medical supplies from?Please select…One, only Cardinal HealthDepends on price and availabilityChanges depending on what I needI buy from 2 or more providersI mostly buy from other suppliers, not Cardinal Health Do you currently order from Amazon Business?YesNo What do you buy? What challenges does your organization face? How can we help to serve you better? Contact Information
