www.3mexpress.com
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12.232.28.174
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Submitted URL: http://www.3mexpress.com/3mexpress/DocumentUpload/OrderStatusDetails.aspx?k=20241120170650275B79EBB99D1A35E06351090C0A29D2
Effective URL: https://www.3mexpress.com/3mexpress/DocumentUpload/OrderStatusDetails.aspx?k=20241120170650275B79EBB99D1A35E06351090C0A29D2
Submission: On November 21 via manual from US — Scanned from DE
Effective URL: https://www.3mexpress.com/3mexpress/DocumentUpload/OrderStatusDetails.aspx?k=20241120170650275B79EBB99D1A35E06351090C0A29D2
Submission: On November 21 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: form1 — POST ./OrderStatusDetails.aspx?k=20241120170650275B79EBB99D1A35E06351090C0A29D2
<form name="form1" method="post" action="./OrderStatusDetails.aspx?k=20241120170650275B79EBB99D1A35E06351090C0A29D2" id="form1">
<div>
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKMTIxNTA1MDM5OQ8WAh4TVmFsaWRhdGVSZXF1ZXN0TW9kZQIBFgJmD2QWAgIFD2QWAgILD2QWAgIDDxYCHgdWaXNpYmxlZ2RkZQvglFDed/RP2MYvT0gqAfDqveg=">
</div>
<div>
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="5554B1C0">
<input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEdAAL0WGyJG4+ZYnpWs1uOa//eUKguqujaSY3YvOsKqMCcN2ujcv54rkVnRhDC06s72nFMZd2M">
</div>
<table cellspacing="0" border="0" cellpadding="0" style="margin: 0; width: 100%; height: 114px;" class="LoginHeaderBannerRowTransparent">
<tbody>
<tr>
<td valign="top" class="LoginHeaderLeftBannerTransparent" style="height: 100%;"></td>
<td align="right" valign="top" width="auto" class="LoginHeaderCenterBannerTransparent"></td>
</tr>
</tbody>
</table>
<div id="pnlBody">
<h2>Order Status Details</h2>
<hr>
<div id="divLeft" style="float: left; width: 525px;">
<div id="divPatientStatus" style="width: 100%; margin-left: 5px; height: 75px;">
<div id="divStatusGaguge" style="float: left;">
<img id="gauge" src="../images/speedo2.jpg" width="250px" height="75px" style="border: 1px #dddddd solid;" alt="">
<input name="gaugeno" type="text" value="2" id="gaugeno" style="display: none">
</div>
<div id="divPatientInfo" style="float: right; margin-left: 20px; vertical-align: top; height: 75px;">
<table>
<tbody>
<tr>
<td colspan="2"> </td>
</tr>
<tr>
<td class="SummaryItemTitle">Rental Order Number:</td>
<td class="SummaryItem">28726499</td>
</tr>
<tr>
<td class="SummaryItemTitle">Delivery Location Type:</td>
<td class="SummaryItem">Facility</td>
</tr>
</tbody>
</table>
</div>
</div>
<br>
<div id="divApproval" style="width: 100%; margin-top: 10px; margin-left: 5px; float: none;">
<fieldset class="SummaryFS">
<legend>Needed For Approval</legend>
<div class="StdLabel" style="padding-left: 5px;">
<table border="0">
<tbody>
<tr>
<td>Required Documentation Missing: Clinical Caregiver Name and Phone Number</td>
</tr>
<tr>
<td>Required Documentation Missing: Clinical Records</td>
</tr>
<tr>
<td>Required Documentation Missing: Diabetic Management Program</td>
</tr>
<tr>
<td>Required Documentation Missing: H&P or CN</td>
</tr>
<tr>
<td>Required Documentation Missing: Op Report</td>
</tr>
<tr>
<td>Required Documentation Missing: Tried & Failed Therapies</td>
</tr>
<tr>
<td>Required Documentation Missing: Wound Measurements</td>
</tr>
</tbody>
</table>
</div>
</fieldset>
</div>
<div id="divProduct" style="width: 100%; margin-top: 10px; margin-left: 5px;">
<fieldset class="SummaryFS">
<legend>Product Information</legend>
<table border="0">
<tbody>
<tr>
<td class="SummaryItemTitle">Product:</td>
<td class="SummaryItem">VAC ActiVAC</td>
</tr>
<tr style="vertical-align:top;">
<td class="SummaryItemTitle">Accessories:</td>
<td class="SummaryItem">STRAC Med GranuFoam Dress(5) - (3)<br>ActiVAC Canister w/Gel (5ea) - (2)<br></td>
</tr>
</tbody>
</table>
</fieldset>
</div>
<div id="divTracking" style="width: 100%; margin-top: 10px; margin-left: 5px;">
<fieldset class="SummaryFS">
<legend>UPS Tracking Information</legend>
<div id="divTracking"> No tracking information available. </div>
</fieldset>
</div>
<div id="divContacts" style="width: 100%; margin-top: 10px; margin-left: 5px; margin-bottom: 10px;">
<fieldset class="SummaryFS">
<legend>3M Contacts</legend>
<table>
<tbody>
<tr>
<td class="SummaryItemTitle">Sales Representative:</td>
<td class="SummaryItem">MCCONNELL, MARK</td>
</tr>
<tr>
<td class="SummaryItemTitle">Email:</td>
<td class="SummaryItem">mmcconnell3@solventum.com</td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
<tr>
<td class="SummaryItemTitle">Customer Service Rep:</td>
<td class="SummaryItem">MCCONNELL, MARK</td>
</tr>
<tr>
<td class="SummaryItemTitle">Email:</td>
<td class="SummaryItem">mmcconnell3@solventum.com</td>
</tr>
<tr>
<td class="SummaryItemTitle">Phone:</td>
<td class="SummaryItem">(866) 682-0501</td>
</tr>
</tbody>
</table>
</fieldset>
</div>
</div>
<div id="divRight" style="float: left; width: 33%; padding-left: 10px; padding-right: 10px; padding-top: 20px; text-align: center;">
<div id="divPromotionImage" style="height: 400px; width:400px; background-color: Red;">
<img id="imgPromotionImage" src="../Documents/llImage.png" style="height: 400px; width: 400px; border: none;">
</div>
<div id="divPromoText" style="width: 400px;">
<p>Sign up for 3M™ Express Today!</p>
<a href="../UserSignUp.aspx" title="New User Signup">Sign Up Now</a>
</div>
</div>
</div>
<script type="text/javascript">
//<![CDATA[
start(); //]]>
</script>
</form>
Text Content
ORDER STATUS DETAILS -------------------------------------------------------------------------------- Rental Order Number: 28726499 Delivery Location Type: Facility Needed For Approval Required Documentation Missing: Clinical Caregiver Name and Phone Number Required Documentation Missing: Clinical Records Required Documentation Missing: Diabetic Management Program Required Documentation Missing: H&P or CN Required Documentation Missing: Op Report Required Documentation Missing: Tried & Failed Therapies Required Documentation Missing: Wound Measurements Product Information Product:VAC ActiVAC Accessories:STRAC Med GranuFoam Dress(5) - (3) ActiVAC Canister w/Gel (5ea) - (2) UPS Tracking Information No tracking information available. 3M Contacts Sales Representative: MCCONNELL, MARK Email: mmcconnell3@solventum.com Customer Service Rep: MCCONNELL, MARK Email: mmcconnell3@solventum.com Phone: (866) 682-0501 Sign up for 3M™ Express Today! Sign Up Now