CARE Program

The purpose of the CARE Program is to give institutions an opportunity to evaluate BioFire’s products prior to making purchasing decisions. This document outlines the parameters of the program. To review the complete CARE program outline, please click here.

Please fill out the form below to submit your CARE program request.

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Sales Manager Information
Your Name
First Last
Sales Territory (Region & Number)*
Your Regional Sales Director's Name*
First Last
Regional Sales Director's Email*
Hospital Information
Hospital/Facility
Attention Line
Shipping Address
Street Address Address Line 2 City State ZIP Code
Is this a Teaching Hospital?*
- Yes
- No
If applicable, please provide IDN:
If applicable, please provide GPO:
Customer Information
Name
First Last
Title
Phone
Email
Does Customer need N/C P.O.?*
- Yes
- No
Does Customer need to report patient results?*
- Yes
- No
Product Information
Please ship:
- RP2.1 (423742)
- BCID2 KIT (RFIT-ASY-0147
- GI (RFIT-ASY-0116)
- ME (RFIT-ASY-0118)
- Pneumonia (RFIT-ASY-0144)
- JI Kit (RFIT-ASY-0138)
- BioFire FilmArray Torch 2 (HTFA-ASY-0001/0003(2))
- BioFire FilmArray Torch 4 (HTFA-ASY-0001/0003(4))
- BioFire FilmArray Torch 6 (HTFA-ASY-0001/0003(6))
- BioFire FilmArray Torch 8 (HTFA-ASY-0001/0003(8))
- BioFire FilmArray Torch 10 (HTFA-ASY-0001/0003(10))
- BioFire FilmArray Torch 12 (HTFA-ASY-0001/0003(12))
- Torch Accessory Kit (HTFA-ASY-0003-W)
Installation
Name of FAS doing installation:
Installation Date*
MM slash DD slash YYYY

**All requests require 5-7 business days to process.
Notes
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