Surgicount Medical
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Badge Request

We are pleased to offer data-matrix badges free of charge to clinicians who will be using the Safety-Sponge™ System.

For badge replacements, new staff members, and additional badge requests, please enter your information below. All requests submitted by Monday before 7am PST will be delivered to your hospital no later than the following Tuesday for most U.S. locations. Please allow one or two additional days during the holidays.

For new implementations, click here for a downloadable template and send via email to at least two weeks prior to your go-live date.

If you have any additional questions, please email:

Please fill out all required (*) fields and verify all entries for spelling accuracy:

Requester Information
Shipping Information
List All Badges Here (At Least One) *:
Last NameFirst NameDepartment (OR, OB, etc.)