Supplies Order Form

To ensure correct delivery of supplies please select the proper Test Kit and quantity needed for your practice. If your ordering supplies for multiple offices, please fill out a supply order form for each location. Click the SEND button to submit your order below so we can complete your request. We will approve your order within 1 to 2 business days.

For assistance, please call us at 888.590.0808 or email us at labsupplies@medarbor.com.

Fill out the test kit order form below:

Practice Name*

Contact Email*

Address*

City*
State*
Zip*

Phone*

Sales Rep Name*

UTI/STI Kit

20 - Vacutainer Collection Cups
20 - Vacutainer Plus C&S Tubes
20 - Specimen Bags
10 - Return Labels
10 - Clinical Paks
Qty:

RPP Kit

10 - Universal Transport Medium
10 - Specimen Bags
10 - Return Labels
10 - Clinical Paks
Qty:

Wound Kit

10 - Universal Transport Medium
10 - Specimen Bags
10 - Return Labels
10 - Clinical Paks
Qty:

Fecal Kit

10 - Fecal Opti-Swabs
10 - Commode Pans
10 - Specimen Bags
10 - Return Labels
10 - Clinical Paks
Qty:

Toxicology Kit

25 - Specimen Containers (90mL)
25 - Specimen Bags
10 - Return Labels
10 - Clinical Paks
Qty:

Women's Health Kit

10 - Universal Transport Medium
10 - Specimen Bags
10 - Return Labels
10 - Clinical Paks
Qty:

Fungal Kit

10 - Mini Cups (60mL)
10 - Specimen Bags
10 - Return Labels
10 - Clinical Paks
Qty:

Custom Requisition Forms

Toxicology Requisition
Infectious Disease Requisition

If you do not see needed supplies listed above, please specify below