Service Provider Application
Kairos Health Systems, Inc. is always evaluating new service providers/vendors to meet the needs of our member organizations. If you are interested in becoming a service provider for Kairos, click on the application, complete it in full and email it to admin@kairoshealthsystems.com or fax it to (717) 509-9717. We will confirm receipt of your application and begin the review process.
You may download a Word Document version or a PDF version. The Word Document version will allow you to edit, save, and email it to us. The PDF version will provide a print-only format for you to complete and fax to us.
Service Provider Application (Word Document)
Service Provider Application (Acrobat PDF)
If a Kairos member has had particular success with a service provider/vendor, the member is welcome to recommend that provider/vendor for evaluation. Email recommendations to admin@kairoshealthsystems.com and include specific detail regarding service and quality.
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