Thank you for opting in to RRS’s new electronic status program!

This update will apply to all pending and future orders to your facility. Please complete the sign-up form below to get started:

RRS Order Number*
Patient Name*

First Name

Last Name
Facility Name*
Facility Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country
Contact Name*

First Name

Last Name
Contact Phone number*
Contact Email address*
Email

This field is for validation purposes and should be left unchanged.

By opting in, RRS will begin sending an email for status to the contact email address above. The email will contain a link and user-friendly steps to electronically update the order. This change will apply to all pending and future orders with your facility.