RE-USEABLE EAR CARE EQUIPMENT
ORDER FORM
March 2017
Please note: A minimum order quantity of £20 applies to all equipment orders
**Prices do not include VAT**
Price
Order Quantity Total Cost
Henckel Forcep ‘Special’ (for wax removal)
£61.00
______
£ ______
Tilley ‘Special’ Aural Dressing Forcep
£34.00
______
£ ______
Hartmann Crocodile Forceps (7mm jaw)
£52.00
______
£ ______
Jobson Horne Probe 7” (1.5 mm tip)
£19.00
______
£ ______
Dressing Scissors 5” S/B Straight
£8.00
______
£ ______
Gruber Aural Speculum – set of 4
£18.00
______
£ ______
Gardiner Brown Tuning Fork C2-512
£35.00
______
£ ______
Wax Hook
£14.00
______
£ ______
Noots Ear Tank - Aluminium
£15.50
______
£ ______
Heine Mini 3000 Otoscope Set (including speculae & soft pouch)
£150.00
______
£ ______
Re-usable Speculae (set of 4) for Heine
£17.00
______
£ ______
Spare Bulb for Heine 2000/3000 (please state which)
£25.00
______
£ ______
Klinic Pocketscope Otoscope (with soft case, specs and batteries)
£152.00
______
£ ______
Re-usable Specula @ each
£12.00
______
£ ______
Spare Halogen Bulb for Klinic Pocketscope Otoscope
£23.00
______
£ ______
Macroview Otoscope (complete) inc. lithium handle & Pod (inc charger)
Head only
(complete - handle takes 2.5v batteries)
£440.00
£250.00
£220.00
______
______
______
£ ______
£ ______
£ ______
Versalite Headlight (including headband)
£35.00
______
£ _____
Spare Bulb for Versalite (if ordered with headlight)
£9.00
______
£ ______
Spare Bulb for Versalite if ordered separately
£15.00
______
£ ______
ProPulse Ear Irrigator (inc 100 tips & footswitch) –New April 2017
£220.00
______
£ ______
Pack of 100 Disposable QrX Tips - for G5 & NG
£60.00
______
£ ______
Pack of 100 Disposable Jet Tips – for other Propulse models
£60.00
______
£ ______
Chlor-clean Tablets (tub of 200) – 1 Tub
£38.00
______
£ ______
Chlor-clean Tablets (tub of 200) – 2 Tubs @ a total of
£58.00
______
£ ______
Replacement Footswitch for Propulse
£40.00
______
£ ______
Replacement Mushroom Valves for Propulse G5 (set of 5)
£23.50
______
£ ______
Replacement Mushroom Valves for other Propulses (set of 5)
£23.50
______
£ ______
Replacement Reservoir for Propulse G5
£32.00
______
£ ______
Replacement Reservoir for other Propulses
£32.00
______
£ ______
Guardian Projet Ear Irrigator (inc 10 tips & footswitch)
£190.00
______
£ ______
Pack of 100 Disposable ProJet Tips
£60.00
______
£ ______
*Laminated information sheets: A4 Cross section of the ear
£1.00
______
______
______
______
£ ______
£ ______
£ ______
£ ______
A4 Contraindications
A5 double-sided as above
A4 Wax flowchart
+ postage
" " "
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/Cont Overleaf
Please note: Prices are accurate at the date of this list, but may have changed by the time you
read it! Please ring to confirm prices before completing Order Quantity and Total Cost columns.
Please do not forget to fill in your invoice & delivery details. You will be invoiced for any difference
in prices if you fail to confirm them by telephone. VAT will be charged to non-NHS organisations
DELIVERY INFORMATION
NAME: ……………………………………………………… SIGNATURE: ……………………………………………………
DELIVERY ADDRESS: ……………………………………………………………………………………………………………
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POST CODE: …………………………………………
TEL NO: ……………………………………………………… FAX NO: ………………….…………………………………
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INVOICE INFORMATION (Please ensure that the full address is given below):NAME: ………………………………………………………………………………………………………….……………………
ADDRESS:
………………………………………………………………………………………………………………………….……………
………………………………………………………………………………………………………………………………..……
POST CODE: …………………………………………
TEL NO: ………………………………………………….
Please note:
We must be notified within 7 days of ‘short deliveries’ of individual items (e.g. 3 probes ordered, only 2
received). Our suppliers will not accept responsibility for shortages not reported within 7 days of the
delivery date. Proof of delivery, if required, must also be requested within 7 days
Payment by BACS (Credit transfer) should quote our invoice number and be sent to: Rotherham NHS
Foundation Trust, Financial Services, Woodside, Moorgate Road, Rotherham, S60 2UA
Please post, fax or Email your order to:
The Primary Ear Care Centre, Rotherham Community Health Centre, Greasbrough Road
ROTHERHAM S60 1RY
Telephone: 01709 423207 Fax: 01709 423408 E-mail: [email protected]
LAST UP-DATED April 2017