Place Your Order

Once you've made your selections, fill out the order form below.

First Name *

Last Name *

Employee ID Number (Enter 0 if unsure) *

What Group do you work for? *

What is your position (ex. RN, CRNA, NP, MA, PT, PSR, etc.)? *

Who is your Office Manager? *

What is your Office Address? *

What is your work email address? *

What's your preferred top style(s)? *

Women's Rose One-Pocket
Women's Iris Five-Pocket
Women's Orchid Three-Pocket
Men's Paris
Men's Venice

What's your women's top size? *

What's your men's top size? *

What's your preferred pant style(s)? *

Women's Clover Jogger
Women's Ivy Jogger
Women's Daisy Cargo
Women's Jasmine Cargo
Men's Aspen Jogger
Men's Kyoto Jogger
Men's Amalfi Classic
Men's Prague Cargo

What's your women's pant size? *

What's your men's pant size? *

What is you pant length? *

Petite/Short
Regular
Tall

May we have your permission to use photos taken during our scrub events or showcasing our scrubs on our social media channels (such as Facebook, Instagram, or Twitter) to promote our products and share our company's story? *

Yes, I give my consent to use my photos for social media purposes.
No, I do not give my consent to use my photos for social media purposes.

Thank you for placing your order!

You're one step closer to meeting your perfect match. We'll be in touch with order updates soon.

Thank you for placing your order!

You're one step closer to meeting your perfect match. We'll be in touch with order updates soon.

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