New Medical Scrubs Order

Ensure your team looks professional and feels comfortable with high-quality medical uniforms tailored to your organization’s needs.

Complete the order form below to request scrubs for new employees or to place a replacement or additional uniform order. Please provide accurate sizing, style preferences, embroidery requirements, and any special instructions to help us process your request efficiently.

Before you begin, please have the following information available:

Medical practice or facility name
Employee information
Department
Preferred scrub style, colour, and size
Quantity required
Embroidery details (if applicable)
Any special instructions

Once your order has been submitted, our team will review the information and contact you if any clarification is required. You will receive confirmation after your order has been processed.

Need assistance?
If you have questions about sizing, embroidery, colours, or available styles, please contact our customer service team before submitting your order.

Practice Information

Medical Practice *

Department *

Order Date *

Requested By *

Employee Name *

Employee ID (Optional)

Phone / Extension *

Email *

Uniform Information

Role *

If Other, please specify

Preferred Fit *

Top Selection

Item Style

Color

Size

Quantity

Embroidery Required?

Embroidery Name

Embroidery Title

Logo Position

Bottom Selection

Item Style

Color

Waist Size

Length

Quantity

Preferred Style

If Other, please specify

Special Instructions

Employee Acknowledgement

I confirm that the information provided above is correct. I understand that customized or embroidered uniforms may not be exchangeable unless there is a manufacturing defect.

Employee Signature (Type Full Name) *

Date *

Medical Scrubs Order Form