Order Form
Please make sure to fill in the required fields and submit this form to complete your order to stock your clinic.
Ordering Clinic Name:
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Office Contact Number
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Office Contact E-mail
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Confirmation Email
Email of the person who will receive the materials and maintain stock.
inFoods IBS - Self-Collection Kits - (P#: 1705)
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1 Kit contains all necessary components to complete one sample collection at home.
inFoods IBS - In-Office Collection Kits - (P#: 1703)
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1 Kit includes 8 sample collection kits, return shipping labels and shipping boxes for each respective test.
Special Instructions
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