Forms

Tri-anim would like to make the purchasing process as simple as possible. To help ensure fast, dependable service, a number of forms have been created in PDF format for you to download. You may fax completed forms to 800.309.6436. If you have any questions or need assistance completing any of the forms, please contact Customer Service or your Account Manager.

  • Credit Application – If you are not a federal or state government agency or municipality, you may apply for open account status by completing a Credit Application.
  • License Authorization Form (LAF) – Submit Medical Director and/or Pharmacist-in-Charge authorization for approval to purchase prescription drugs, controlled substances and/or medical devices.
  • Electronic Invoice Signup Form - Signup to receive email copies of your invoices.