Extended Care Password Request

Medical-Surgical
Home Care & Long Term Care Ordering
(Yellow fields are required)
(McKesson Employees, Click Here)

Your Company Name:
McKesson Account Number(s):
McKesson Account Manager:
Your Distribution Center City & State:
Your First & Last Name:
E-Mail:
Phone:
Fax:
Password Recovery Question:
On Line Menu Options: The options that are checked by default are the most common user options. Un-checking any of the options to the right will restrict the user's ordering and reporting abilities.	This user can... Confirm Orders Maintain Purchasing Lists This user can add items to an order from... Purchasing Lists Catalog Item Entry This user can view... Item Pricing *This user is allowed to see...* Order Status Reporting *Extras..* Product Returns Patient/Caregiver Maintenance G/L Maintenance Orbits Label Maintenance
Other Comments:

If unable to submit online - please fax completed form to 1-866-476-0341 (toll free)