Rest home laboratory supplies online order form

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Rest home laboratory supplies online order form

Rest home laboratory supplies online order form

Please note: orders take up to 3 business days to be dispatched.

Rest Home/Hospital*
Your Name*
Contact Email*
Address*
Street Address City ZIP / Postal Code
Stationery
Home/Hospital Name
Doctor's Name (if applicable)
Swabs
Routine Bacterial Transwab – Purple Top (each)
Wire Swab (each)
Viral Dry Swab (each – limit 2)
Specimen Collection Supplies
Specimen Pottles (bag of 50)
Urine Collection Punnet (each)
Urine Collection Boat (each)
Faeces Containers – Scoop (bag of 25)
24 Hour Container Plain (each)
24 Hour Container Acid (please phone laboratory)
Sundries
Plastic Bag (Biohazard Specimen Bag) (each)
Sharps 1.4L (each) used for laboratory sample collection only
CAPTCHA
Date
DD slash MM slash YYYY