Get Group Purchasing Organization Application Form

Completing the Group Purchasing Organization Application Form online is a straightforward process that enables organizations to join the TRIIUM Group Purchasing Organization. This guide provides detailed instructions to help users fill out each section of the form accurately and efficiently.

Follow the steps to complete your application seamlessly.

1. Click ‘Get Form’ button to obtain the application form and open it in your preferred editor.
2. In the 'Organization Name' field, enter the official name of your organization clearly and accurately.
3. Provide the 'Primary Contact Name' along with their title in the designated fields to ensure the appropriate person is reached regarding this application.
4. Fill in the 'Contact Phone' number. This should be a direct line where the primary contact can be easily reached.
5. Enter the 'Contact Email' address to facilitate digital communication regarding the application process and future correspondence.
6. If applicable, fill in the 'Contact Fax' number, though this is often optional with the prevalence of email.
7. Complete the 'Contact Address' section with the full mailing address of your organization to ensure all correspondence is directed accurately.
8. Indicate the 'Number of Employees' in your organization, which may help in assessing your entity's scale and needs.
9. If applicable, input the 'Number of Physicians' associated with your organization, providing insight into your operational scope.
10. Select your organization's type from the list provided. This will help categorize your application accurately.
11. Review the terms by signing the Enrollment Form, along with the printed name and date for verification and record-keeping.
12. Finally, save your changes, and download or print the completed form. Keep a copy for your records and share it as necessary.

Begin your application process today by completing the Group Purchasing Organization Application Form online.