Service Requests

We are ready to dispatch a Vascular Access Nurse to your facility - just tell us what you need.

Whether you are an existing client or just need a one-time service, Service Requests are easy and fast. There are THREE WAYS TO DO IT. Just call, fax, or email us to get the services you need. Here's how:

Toll-free phone line - 833.833.0995

Just call us and tell us what you need. 

Toll-free, secure fax line - 833.830.9099

Fax us on our Toll-free, secure, HIPAA -compliant fax line.

 If you need a HIPAA-compliant fax cover sheet or Service Request Form, just log into our Client Portal page and download them. 

email us at servicerequests@piccsmart.com

Email us at our secure, HIPAA -compliant email address.

If you need a HIPAA-compliant fax cover sheet or Service Request Form, just log into our Client Portal page and download them.

Order Online

Just push the button below to go to our Online Service Request Form!

Place a Service Request Online

Download the PICCsmart App

 We look forward to offering this service in early 2019. 

Need a hipaa-compliant fax cover sheet or service request form?