Staff Instructions for Documenting Files for Recall America
1. Recall America (aka Recall) - DMS Medical Collection & Supply Order Form
(for files to be picked up from the department)
Section 1
Order Type (required for work order creation) Please select either “Collection” or “Supplies”


Collection = For Recall America to collect cartons from your office
Supplies = For Recall America to ship supplies to your office.
Section 2
Quantity of items you need Recall to collect from your site or to provide you with.

Collection - New Cartons: Items that are being sent to Recall for the first time.

Collection - Refiles: Items that have been at Recall and you would like to return
Supplies - Barcode Labels: Request to be made to Recall to provide new barcode labels
Note: For Miami customers increments of 14
Supplies - New Cartons: Request to be made to Recall to provide standard size new empty cartons
Note: Minimum 10
Section 3
Account Number: 01117
Account Name: Memorial Cancer Institute
Section 4
Information for each individual item to be sent to Recall for storage.
Carton Barcode: Is a unique system generated number that allows Recall to securely
track your carton.
Note: Recall requires all cartons to have a barcode label prior to collection.
Customer Carton Number: Optional number assigned by customer for in-house tracking.
Record To & From: Date range of records stored in carton
Destruction Date: Date when records can be destroyed.
Note: Even if this date is provided Recall will not destroy any cartons without customer's
consent.
Carton Size:
Standard Carton ST1.25 (12W x 10 H x 15L)
Section 5
Customer contact information
Authorized by:
Name of the person making the request
Signature:
Signature of the person making the request.
Staff Instructions for Documenting Files for Recall America
Phone Number: A telephone number where person making the request can be reached in
the event there are any questions
Print Form and submit
Once you have completed the collection & supply order form, return to Recall via email
(care.dmsmedical@recall.com) or fax 1-866-833-4764
Place faxed forms in the Recall Binder located in the OHR Office
2. Staff Instructions for Documenting Files for Recall
a. Access Memorial’s Secured H Drive
b. Open Office Of Human Research Folder
c.
Open Recall Folder
d. Locate appropriate form needed
e. Go into Recall Lists Folder
f.
Choose appropriate year
g. Open List for OHR
h. Choose appropriate tab a bottom
i.
List Carton #
j.
Barcode #
k.
Description of contents of the Carton
l.
Save
m. Exit
3. DMS Medical Customer CARE- Customer Order Form-Miami (For files to be
returned to the department)
Fill all information of the form
Account Number: 01117
Account Name: Memorial Cancer Institute
Sign and send back using one of the following ways of submitting the request:
E-Fax #: (866) 833-4764
Web: https://tr.am.recall.com
Customer CARE Telephone #: (800) 597-4252 # 1