For children weighing
16.5lbs to 33 lbs.
For children weighing
33 lbs to 66 lbs.
For anyone who
weighs 66 lbs or more.

AUVI-Q® Educational Institution Order Form

Initiate the AUVI-Q order for your educational institution by completing the form below. HealthFirst will respond with your pricing and answer any questions you may have. If you need assistance please call Ashley at 325-734-5886.

    Payment information will be collected via phone during the order confirmation process.
  • For patients weighing 16.5-33 lb. Please indicate the total number of cartons requested for each dose. Each carton contains 2 auto-injectors and 1 trainer.
  • For patients weighing 33-66 lb. Please indicate the total number of cartons requested for each dose. Each carton contains 2 auto-injectors and 1 trainer.
  • For patients weighing over 66 lb. Please indicate the total number of cartons requested for each dose. Each carton contains 2 auto-injectors and 1 trainer.