Client Services

View our Annual Notice to Ordering Practitioners,
or view Toxicology and Genetic Results or order laboratory and testing supplies.

Access Patient Reports
Access Patient Reports
Access Patient Reports

Supply Order Form

  • MM slash DD slash YYYY

  • For Practices with Care Coordinators: If you need Dymo labels or printer ink, please let us know in the special instructions box below (be sure to list print cartridge type).

  • POC (Point of Care) Specimen Cup

    1 pack = 25 cups. Fee will apply.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Urine Specimen Cup w/Temp Strip

    1 pack = 50 cups.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Biohazard Shipping Bag with Pouch

    1 pack = 50 bags. Ships only in full pack.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • UPS Shipping Box

    1 pack contains 20 boxes.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • UPS Shipper Labels

    1 pack contains 20 preprinted labels.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Laboratory Pak

    1 pack contains 20 paks.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Toxicology Requisition Form

    1 pack contains 25 forms.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • PGx Requisition Form

    1 pack contains 25 forms.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Optimized Women’s Health Requisition Form

    1 pack contains 25 forms.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • UTI Requisition Form

    1 pack contains 25 forms.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Buccal Swab
    (For PGx and CGx Collection)

    1 box = 100 swabs.
    Minimum order of 1 box/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Vaginal Swab
    (Optimized Women’s Health)

    1 box = 10 swabs.
    Minimum order of 1 box/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • Oral Swab (Toxicology Testing)

    1 box = 10 swabs.
    Minimum order of 1 box/Maximum order of 10.
  • Please enter a number from 1 to 10.

  • UTI Collection Kit (Cup and the Tube)

    1 pack = 50 kits.
    Minimum order of 1 pack/Maximum order of 10.
  • Please enter a number from 1 to 10.
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