Supply Order Form

You can use the online order form below or download our interactive and printable PDF version HERE that also can be filled out and emailed to us.

Full Kits

Full kits include shipping paks/labels and enough swabs and paperwork for 20 patients

CGx

PGx

Respiratory-COVID (not in-home tests)

STI

UTI

Wound

Women's Health

Nail

Bloodwork/Antibody

Itemized Order:

Biohazard Bags

Kit Boxes

Kit Boxes With Stickers

RP-Covid Swabs

Shipping labels UPS

Shipping - Folding Box

Shipping Paks

Urine Collection Cups

Urine Collection Hats

UTI - Gray Top Tubes

Wound Swabs and Women's Health

Nail Collection Cups

Bloodwork Collection Tubes (sst/lavender)

Marketing Materials

Kits Shipped to:

Clinic Name

Attn *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact Email *

Contact Phone

Comments or questions

Name