Group Purchasing Program - Consultation Request Form

Please complete this form to state your interest in receiving a consultation from OHCA’s group purchasing team regarding your facility’s use of the OHCA group purchasing program. This consultation will serve to better understand how you use the program and potentially uncover opportunities for further savings. Once you’ve submitted the form, an OHCA staff member will be in contact with you within two business days to schedule your consultation.
Facility Name: * Required
Facility Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Operating Co. Name:
Operating Co. Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Name: * Required
First Last
Phone: * Required
Email: * Required
Are you obtaining services from Navigator Group Purchasing, Sysco Food Services, or both? * Required
- Navigator Group Purchasing
- Sysco Food Services
- Both
What vendors are you currently using through the group purchasing program? * Required
What vendors do you use that are not through the group purchasing program? * Required
What aspects of the program have you benefited from? (ie savings on vendor products and services, having a representative, analytics, ease of use, OHCA dues discounts) * Required

Group Purchasing Program – Consultation Request Form