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  • Supply Order Form

  • Available Supplies- Please check the box of items you would like to order:

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    Small Specimen Jars (Box of 24). 20mL 10% Neutral Buffered Formalin filled container
    Small Specimen Jars (Box of 24)

    20mL 10% Neutral Buffered Formalin filled container

    Free$ Free
      
    Medium Specimen Jars (Box of 24). 40mL 10% Neutral Buffered Formalin filled container
    Medium Specimen Jars (Box of 24)

    40mL 10% Neutral Buffered Formalin filled container

    Free$ Free
      
    Large Specimen Jars (Box of 24). 60mL 10% Neutral Buffered Formalin filled container
    Large Specimen Jars (Box of 24)

    60mL 10% Neutral Buffered Formalin filled container

    Free$ Free
      
    Extra Large Specimen Jars (Box of 24). 90mL 10% Neutral Buffered Formalin filled container
    Extra Large Specimen Jars (Box of 24)

    90mL 10% Neutral Buffered Formalin filled container

    Free$ Free
      
    Large Empty Specimen Containers (each). Large containers for large specimens - no formalin included in container
    Large Empty Specimen Containers (each)

    Large containers for large specimens - no formalin included in container

    Free$ Free
      
    Michel's Solution (each). 7mL container of Michel's Solution for DIF specimen transport
    Michel's Solution (each)

    7mL container of Michel's Solution for DIF specimen transport

    Free$ Free
      
    Small Specimen Bags (100 pack). 6x9in zip-closure specimen bags
    Small Specimen Bags (100 pack)

    6x9in zip-closure specimen bags

    Free$ Free
      
    Large Specimen Bags (50 pack). 15x17in extra large bags
    Large Specimen Bags (50 pack)

    15x17in extra large bags 

    Free$ Free
      
    LaserJet Label Paper (250 pages). Paper for printing electronic requisitions with peel-off labels
    LaserJet Label Paper (250 pages)

    Paper for printing electronic requisitions with peel-off labels

    Free$ Free
      
    Requisition Forms (each). Pre-printed Dermatopathology Requisition forms with carbon copy and 6 peel-off label stickers for specimen containers
    Requisition Forms (each)

    Pre-printed Dermatopathology Requisition forms with carbon copy and 6 peel-off label stickers for specimen containers

    Free$ Free
      
    Specimen Logs. Specimen logs with double carbon copy sheets for tracking specimens sent to the lab
    Specimen Logs

    Specimen logs with double carbon copy sheets for tracking specimens sent to the lab

    Free$ Free
      
    Printer Ink Cartridge. Please indicate ink cartridge number in the comments section (ex. 206A), for lab-supplied printers only
    Printer Ink Cartridge

    Please indicate ink cartridge number in the comments section (ex. 206A), for lab-supplied printers only

    Free$ Free
      
    Specimen Labels. Printable labels for DYMO or other label printing software
    Specimen Labels

    Printable labels for DYMO or other label printing software

    Free$ Free
      
    FedEx Supplies. Please specify what is needed in the comments section (ex. Small box, clinical pak, airbills, etc)
    FedEx Supplies

    Please specify what is needed in the comments section (ex. Small box, clinical pak, airbills, etc)

    Free$ Free
      
    Total
    $0.00$0.00
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