UHK Activate Spare Equipment Name of Person Ordering Equipment* Location*---Rathass WardMuckross WardAghadoe WardCCU WardScellig WardClonfert WardICU WardReask WardArdagh WardPallative Care UnitA & E WardDenish WardLoher WardAnnagh WardValentia WardCashel WardKells WardMAUAcute Stroke UnitCARRIG WARD Date of Transfer*: Year202020212022 Month010203040506070809101112 Day01020304050607080910111213141516171819202122232425262728293031 Room Number and Patient Initials* Product Rental Number* (e.g. OFM1234) OFM Return Email CAPTCHA Code: Enter Code*: (Type Text shown on the image above) *indicates required field