KU Order Form 2023
  • University of Kansas Health System Order Form

  • Step 1 - Space Assessment Request # Confirmation

  • A SAR# is required to begin the quote request process. Please email spacerequests@kumc.edu for an SAR#. Once you have been given access, please fill out the contact information and select the products you are requesting for a quote.

  • Step 2 - Main Contact Information

  • Format: (000) 000-0000.
  • Step 3 - Shipping and Delivery Information

  • Format: (000) 000-0000.
  • Step 4 - Product Selection Form

  • Categories:All
    All
    Office Spaces
    Clinical Spaces
    Exam Room
    Meeting Spaces
    Break Rooms
    Desk Accessories
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                Office Spaces
                C1 - Office Desk Chair w/ Arms Product Image
                C1 - Office Desk Chair w/ Arms
                $395.00
                Caster Options Quantity
                Hard Floor Casters
                Carpet Casters

                Item subtotal:$0.00
                  
                C2- Office Desk Chair Armless Product Image
                C2- Office Desk Chair Armless
                $360.00
                Caster Options Quantity
                Hard Floor Casters
                Carpet Casters

                Item subtotal:$0.00
                  
                C3 - Heavy Duty Office Chair with Arms Product Image
                C3 - Heavy Duty Office Chair with Arms

                Medical Grade Vinyl

                $528.00
                Caster Options Quantity
                Hard Floor Casters
                Carpet Casters

                Item subtotal:$0.00
                  
                C4 - Bariatric Office Desk Chair with Arms Product Image
                C4 - Bariatric Office Desk Chair with Arms

                Medical Grade Vinyl

                $1,518.00
                Caster Options Quantity
                Hard Floor Casters
                Carpet Casters

                Item subtotal:$0.00
                  
                C5 - Office Guest Chair w/ Glides Product Image
                C5 - Office Guest Chair w/ Glides

                Medical Grade Vinyl

                $164.00

                Item subtotal:$0.00
                  
                C6 - Office Guest Chair w/ Casters Product Image
                C6 - Office Guest Chair w/ Casters
                $175.00
                Caster Options Quantity
                Hard Floor Casters
                Carpet Casters

                Item subtotal:$0.00
                  
                S1 - Desktop Sit to Stand Riser Product Image
                S1 - Desktop Sit to Stand Riser
                $258.00

                Item subtotal:$0.00
                  
                M1 - Universal Mobile Ped (File / File) Product Image
                M1 - Universal Mobile Ped (File / File)
                $578.00
                Color Quantity
                Mineral Metallic
                Merle
                Platinum Metallic

                Item subtotal:$0.00
                  
                M2 - Universal Mobile Ped (Box / Box / File)  Product Image
                M2 - Universal Mobile Ped (Box / Box / File)
                $564.00
                Color Quantity
                Mineral Metallic
                Merle
                Platinum Metallic

                Item subtotal:$0.00
                  
                M18 - Universal Mobile Ped (Box / File)   Product Image
                M18 - Universal Mobile Ped (Box / File)
                $520.00
                Color Quantity
                Mineral Metallic
                Merle
                Platinum Metallic

                Item subtotal:$0.00
                  
                Clinical Spaces
                C7 - Clinical Task Chair (Armless) Product Image
                C7 - Clinical Task Chair (Armless)

                Bleach Cleanable Vinyl

                $502.00

                Item subtotal:$0.00
                  
                C8 -  Clinical Task Chair  (w/ Arms) Product Image
                C8 - Clinical Task Chair (w/ Arms)

                Bleach Cleanable Vinyl

                $537.00

                Item subtotal:$0.00
                  
                C9 - Clinical Bariatric Task Chair (w/ Arms) Product Image
                C9 - Clinical Bariatric Task Chair (w/ Arms)

                Bleach Cleanable Vinyl

                $1,643.00

                Item subtotal:$0.00
                  
                C10 - Clinical Task Stool (Armless) Product Image
                C10 - Clinical Task Stool (Armless)

                Bleach Cleanable Vinyl

                $488.00

                Item subtotal:$0.00
                  
                C11 - Clinical Task Stool (w/ arms)  Product Image
                C11 - Clinical Task Stool (w/ arms)

                Bleach Cleanable Vinyl

                $523.00

                Item subtotal:$0.00
                  
                T1 - Height Adjustable Table Product Image
                T1 - Height Adjustable Table

                Height Adjustable Tables - Scott Rice will need to assess your space before ordering height adjustable desks. Your sales representative will reach out to you shortly to get more details.

                $335.00

                Item subtotal:$0.00
                  
                Exam Room
                C12 - Exam Room Stool Product Image
                C12 - Exam Room Stool

                Bleach Cleanable Vinyl

                $308.00

                Item subtotal:$0.00
                  
                C13 - Exam Room Chair (Armless) Product Image
                C13 - Exam Room Chair (Armless)

                Bleach Cleanable Vinyl

                $269.00

                Item subtotal:$0.00
                  
                C14 - Exam Room Chair (w/ Arms)  Product Image
                C14 - Exam Room Chair (w/ Arms)

                Bleach Cleanable Vinyl

                $295.00

                Item subtotal:$0.00
                  
                C15 - Bariatric Exam Room Chair (w/ Arms)  Product Image
                C15 - Bariatric Exam Room Chair (w/ Arms)

                Bleach Cleanable Vinyl

                $491.00

                Item subtotal:$0.00
                  
                S2 - Height Adjustable Laptop Cart on Casters Product Image
                S2 - Height Adjustable Laptop Cart on Casters
                $335.00

                Item subtotal:$0.00
                  
                Meeting Spaces
                C16 - Chair w/ Mesh Back Product Image
                C16 - Chair w/ Mesh Back

                Vinyl Seat

                $397.77

                Item subtotal:$0.00
                  
                C17 - High Back Chair w/ Mesh Back Product Image
                C17 - High Back Chair w/ Mesh Back

                Vinyl Seat

                $445.00

                Item subtotal:$0.00
                  
                C18 - Armless Side Chair  Product Image
                C18 - Armless Side Chair

                Vinyl Seat Pad

                $199.00

                Item subtotal:$0.00
                  
                M3 -  Markerboard Product Image
                M3 - Markerboard

                36"W x 24"H

                $315.00

                Item subtotal:$0.00
                  
                M4 -  Markerboard  Product Image
                M4 - Markerboard

                36"W x 48"H

                $409.00

                Item subtotal:$0.00
                  
                M5 -  Markerboard  Product Image
                M5 - Markerboard

                48"W x 48"H

                $522.00

                Item subtotal:$0.00
                  
                M6 -  Markerboard   Product Image
                M6 - Markerboard

                72"W x 48"H

                $646.00

                Item subtotal:$0.00
                  
                M7 -  Markerboard   Product Image
                M7 - Markerboard

                96"W x 48"H

                $762.00

                Item subtotal:$0.00
                  
                S2 - Height Adjustable Laptop Cart on Casters Product Image
                S2 - Height Adjustable Laptop Cart on Casters
                $335.00

                Item subtotal:$0.00
                  
                Break Rooms
                C19 - Break Room Chair Product Image
                C19 - Break Room Chair
                $138.00

                Item subtotal:$0.00
                  
                Desk Accessories
                M8 - Single Monitor Arm Product Image
                M8 - Single Monitor Arm
                $228.00

                Item subtotal:$0.00
                  
                M9 - Double Monitor Arm Product Image
                M9 - Double Monitor Arm
                $498.00

                Item subtotal:$0.00
                  
                M11 - Triple Monitor Arm Product Image
                M11 - Triple Monitor Arm
                $652.00

                Item subtotal:$0.00
                  
                M14 - Straight Keyboard Tray Product Image
                M14 - Straight Keyboard Tray
                $262.00

                Item subtotal:$0.00
                  
                S1 - Desktop Sit to Stand Riser Product Image
                S1 - Desktop Sit to Stand Riser
                $258.00

                Item subtotal:$0.00
                  
                M16 - Desktop Power Product Image
                M16 - Desktop Power

                2 Power / 2 USB

                $133.00

                Item subtotal:$0.00
                  
                M17 - Desktop Power  Product Image
                M17 - Desktop Power

                2 Power / 2 USB

                $133.00

                Item subtotal:$0.00
                  
                A1 - Slatwall Worktools Letter Tray (Portrait) Product Image
                A1 - Slatwall Worktools Letter Tray (Portrait)
                $29.00

                Item subtotal:$0.00
                  
                A2 - Slatwall Worktools Letter Tray (Landscape)  Product Image
                A2 - Slatwall Worktools Letter Tray (Landscape)
                $29.00

                Item subtotal:$0.00
                  
                A3 - Slatwall Worktools Paperflo Product Image
                A3 - Slatwall Worktools Paperflo
                $69.00

                Item subtotal:$0.00
                  
                A4 - Slatwall Worktools Personal Shelf  Product Image
                A4 - Slatwall Worktools Personal Shelf
                $32.00

                Item subtotal:$0.00
                  
                A5 - Soto Worktools Pile Box Product Image
                A5 - Soto Worktools Pile Box
                $30.00

                Item subtotal:$0.00
                  
                A6 - Soto Worktools Letter Box Product Image
                A6 - Soto Worktools Letter Box
                $30.00

                Item subtotal:$0.00
                  
                A7 - Soto Worktools Diagonal Box  Product Image
                A7 - Soto Worktools Diagonal Box
                $30.00

                Item subtotal:$0.00
                  
                A8 - Soto Worktools Tool Box Product Image
                A8 - Soto Worktools Tool Box
                $27.00

                Item subtotal:$0.00
                  
                Total
                $0.00
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