HSA/FSA/HRA Forms
Use Your HSA, FSA, or HRA on IFAK360
Most IFAK360 components qualify as HSA/FSA/HRA eligible medical expenses — including tourniquets, hemostatic gauze, wound dressings, irrigation supplies, closure devices, and medications. Use pre-tax dollars on paramedic-grade gear built for real emergencies.
How It Works
Purchase any module, complete kit, or individual item → download your itemized receipt below → fill in your name and order number from your confirmation email → submit to your plan administrator. Eligibility is determined by your provider; we recommend confirming before purchase.
Download Your Itemized HSA, FSA, or HRA Receipt
- 📄 Complete Kit (M1–M4)
- 📄 Module 1 — Hemorrhage Control
- 📄 Module 2 — Irrigation & Wound Prep
- 📄 Module 3 — Wound Closure
- 📄 Module 4 — Medication & Hydration
- 📄 Module 5 — Field Endurance Kit
- 📄 Build Your Own IFAK
Not HSA/FSA/HRA Eligible
- Module 1K9 - Canine Hemorrhage Control
- Module 6 - Veterinarian Wound Care
Under IRS rules (IRC Section 213(d)), HSA, FSA, and HRA funds may only be used for medical expenses incurred for the diagnosis, cure, mitigation, treatment, or prevention of disease in humans. Veterinary and animal care expenses are explicitly excluded.
The documents below are itemized component lists for personal records only. They are not HRA, HSA, or FSA reimbursement forms and may not be submitted to any health account administrator for reimbursement under IRS guidelines.
- 📄 Module 1 K9 — Canine Hemorrhage Control (itemized component list, personal records only)
- 📄 Module 6 — Veterinary Wound Care & Irrigation (itemized component list, personal records only)
Questions? Contact us and we'll help you out.
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