Do not buy the otoscope/ophthalmoscope that KCU says is required. Buy a cheaper one from amazon or ebay, you don't need one that fancy. The tuning fork we used like once or twice and they have extras available so you don't even need your own. You also don't need that insufflation bulb thing for the otoscope, we never used it. I would also argue that you only need the standard adult size BP cuff. When you need a pediatric one, it will be provided for you. You do need a reflex hammer and just get the regular triangle shaped one. There are different styles but they want you to have the normal one.