Healthcare Procurement Solutions, LLC Logo

Address: 3330 Cumberland Blvd, Suite 500, Atlanta, GA 30339
Telephone: 770-953-3026
Fax: 770-771-5945
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770-953-3026
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Program Enrollment

Enrollment with HPS is easy. If you have any questions or concerns, please contact our office at 770-953-3026 for assistance.

Complete and submit the online HPS enrollment form (see below), choose the programs you need, and sign the online member disclosure agreement.

A member of our HPS team will send you a follow-up email to verify the programs you have selected and provide you with the necessary forms to enroll.

Business Information
Business Name:
 
Primary Facility Address - commercial business location, PO Boxes & residential addresses not accepted
Street:
City:
State:
Zip Code:
 
Billing Address - if different than Primary Facility Address
Street:
City:
State:
Zip Code:
 
Primary Phone Number:
Website Address:
Class of Trade:
If "Other", please specify:
Number of Employees:
Number of Locations:
Contact Information
Contact Name:
Contact Title:
Contact Phone Number:
Primary Email Address:
Who is your current GPO?
How did you hear about HPS?
Program Participation
Please check each program in which you are interested.
Medical & Pharmacy Supplies and Equipment 
Reference Laboratory Services
Office Solutions, Supplies, & Services
Food Purchasing Services 
Wireless Products & Services 
Shipping & Freight Services 
Medical Waste & Shredding
Credit Card Processing
Human Resource Solutions
E-Procurement Solutions
Printing, Charts, Forms & Promotional Items
Website Design & Marketing

 indicates a Premier program where members must join both HPS and Premier. If selected, a link to enroll in Premier will be included in your welcome email.
Disclosure Agreement
I have read and understand the HPS Member Disclosure Agreement. By entering my name in the signature box below, I acknowledge receipt and accept the terms of this Agreement as a condition of participation.
Signature:

HPS KEY PARTNERS
We Partner with Thousands of Clinical and Non-clinical Companies

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