# St. Louise Regional Hospital SL1680954HM

FORM AUTHORIZATION FOR CONSENT TO SURGERY (MINIMUM ORDER 5 PKS); FORM CERTIFICATION & CONSENT TO TRANSFER (MINIMUM OR...

**Recipient:** 5003980 RR DONNELLEY

**Award Amount:** $995.00
**Ceiling:** $995.00

**Awarded:** June 08, 2026

**Identifier:** SL1680954HM

The purchase order from Saint Louis Regional Hospital (a public hospital located in California, Santa Clara County) is awarded to vendor 5003980 RR DONNELLEY for the procurement of medical forms related to surgery consent, transfer approval, and emergency documentation. The total award amount is $995, with a single contract covering multiple form types in June 2026. The contract specifies a minimum order quantity of five packages per form type, with quantities ordered totaling 30 packages. The vendor will supply these medical forms as part of a single order linked to a contract awarded on June 8, 2026, in California.

### Description

FORM AUTHORIZATION FOR CONSENT TO SURGERY (MINIMUM ORDER 5 PKS); FORM CERTIFICATION & CONSENT TO TRANSFER (MINIMUM ORDER 5 PKS); FORM EMERGENCY TRANSFER DOCUMENTATION