Choose One Apples Anchor AITE High School Cloonan Middle School Davenport Ridge Elementary Dolan Middle School Hart Magnet Elementary K.T Murphy Elementary Newfield Elementary Northeast Elementary Rippowam Middle School Rogers International Roxbury Elementary Scofield Magnet Middle School Springdale Elementary Stamford High School Stark Elementary Stillmeadow Elementary Strawberry Hill Toquam Magnet Elementary Turn of River Middle School Westover Magnet Elementary Westhill High School Bi-Cultural Day The Catholic Academy of Stamford Cardinal Kung High School Children School First United Methodist King Long Ridge Mater Salvatores The Mead School Our Lady of Grace Villa Maria Waterside Choose One Public School (3820) Private & Parochial (3821) Community Nursing (3822) Grant Supported Program Choose One Pick-Up Deliver Choose One 5" x 9" Choose One Blue Red Choose One 2" x 4" Fabric 2" x 4" Plastic ¾" x 3" Butterfly Wound Dot/Round Kids Choose One Paper Plastic Choose One Roll 2 Ply (For Ice Pack) Choose One 1" 2" 3" Choose One 5 oz. 9 oz. Choose One 8" x 10" Choose One 2.5 mm 4.0 mm Choose One Adult (4.25 mm) Pediatric (2.75 mm) Choose One Adult Child Choose One 3" 4" Choose One 1 qt. 2 gal. Choose One Mask Holding Chamber Valved Holding Chamber Choose One Table Paper (18 x 225) Choose One Adhesive Paper Choose One Adult (6") Jr. (5.5") Choose One 2 x 2 3 x 3 4 x 4 Choose One Small Medium Large X-Large Choose One 6" Choose One Gallon Signature Here Click to Sign
Choose One 60CC Choose One Ear Mouth Choose One 6" Choose One Adult/Med Arm