Standardized Patient DVD Order Form

Step 1 of 3: Complete order form

Questions about this order form:

Why do I need to supply my phone number?

We need your telephone number to contact you if your order is returned as damaged or otherwise undeliverable.

What is my validation code? What is it for?

The validation code is a random 5-digit number that is generated when you open the order form. You can copy and paste, or re-type the number in the validation code field. We use this to help reduce "form spamming," where automatic form fillers submit bogus requests by repeatedly submitting web site forms. This helps us process your order more quickly.

I can't see the form. It says "Thank you for your request ... we can only take one per user."

This is by design. If you have already submitted a request, you will not be able to submit another one.

My browser says you're trying to set a "cookie" on my machine. I thought government web sites could not use cookies.

Government web sites cannot use 'persistent' cookies. Persistent cookies stay on your computer after you leave the site. We use a session cookie that is deleted as soon as you close your browser. It stores no personal information other than the fact that you have used this form. We are using this to prevent form spamming.