ORDERING SUPPLIES

WHAT SUPPLIES CAN BE ORDERED?

SPECIMEN COLLECTION KIT ITEMS:

Specimen Cups
(can be ordered in increments of 50)

Security Seals
(can be ordered in increments of 100)

Specimen Bags
(can be ordered in increments of 100)

THESE MAY ALSO BE ORDERED:

Oral Fluid Collection Kits
(1 kit includes 10 devices
and 5 envelopes)

Zebra Printer
Labels
(ordered by the roll)

UPS LabPak Bags
(ordered in packs of 25)

UPS Labels

(orderable in any quantity)

Patient Release Forms

(pads of 100)

*Printable Spanish version available by email upon request — please note when ordering.

Patient Information Update Forms

(pads of 100)

*Printable Spanish version available by email upon request — please note when ordering.

Billing Envelopes

(orderable in any quantity)

ACCOUNT SUPPLY ORDER FORM

If you are an account using our services, you can place an order for supplies using the form below.

Please make sure to include your email in case we have any questions, and your 4 or 5-digit account number.

Location/Account #

Specimen Cups ONLY (increments of 50)

Specimen Seals ONLY (increments of 100)

Specimen Bags ONLY (increments of 100)

Oral Fluid Kits - a kit is 10 devices and 5 envelopes

Zebra Printer Labels- # of Rolls

UPS Lab Paks (increments of 25)

UPS Labels- ordered individually

Patient Release Forms - ordered in pads of 100

Patient Information Update Forms - ordered in pads of 100

Billing Envelopes

Comments- if applicable

Account Name

Your Name

Your Email

Clinic Street Address

City

State

Zipcode

ORDERING SUPPLIES

WHAT SUPPLIES CAN BE ORDERED?

SPECIMEN COLLECTION KIT ITEMS:

THESE MAY ALSO BE ORDERED:

ACCOUNT SUPPLY ORDER FORM

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