Order # or the Name under the Order
Line One Text
Line Two Text (if applicable)
Placement (Left or Right)
Once this form is filled out, we'll begin embroidering your new scrubs so you can introduce yourself.
Make sure to double check spelling and accuracy of the form!
Customized items are personal and cannot be returned nor exchanged.
If you have questions or need help placing an embroidery order, please reach out to us through our contact page.
*THIS FORM MUST BE FILLED OUT COMPLETELY IN ORDER TO BEGIN EMBROIDERY*