Become a Kairos service provider.

Kairos Health Systems, Inc. is always evaluating new service providers/vendors to meet the needs of our member organizations. If you are interested in becoming a service provider for Kairos, click on the application, complete it in full and email it to or fax it to (717) 509-9717. We will confirm receipt of your application and begin the review process.

You may download a Word Document version or a PDF version. The Word Document version will allow you to edit, save, and email it to us. The PDF version will provide a print-only format for you to complete and fax to us.
 Service Provider Application (Word Document)
 Service Provider Application (Acrobat PDF)

If a Kairos member has had particular success with a service provider/vendor, the member is welcome to recommend that provider/vendor for evaluation. Email recommendations to and include specific detail regarding service and quality.