ACCOUNT SET UP FORM

Prior to sending any samples, you need to complete the Account Set Up Form below, or there may be a delay in processing.

ACCOUNT SETUP FORM

Add Location

Veterinarian Full Name*

Veterinarians Email

(a separate user will be created for this address)

Please enter correct format

NPI# *

Add another Veterinarian

Specimen Pickup Method:

COURIER (available to local hospitals)

FEDEX

UPS

Pickup Scheduled:

Pickup Window:

Driver Special Instruction:

Order a full starter Kit or individual supplies:

All supplies are orderable in a set of 50. Please indicate the number of boxes you would like to order in the QTY field.


	30 mL Formalin jar 60 mL jar with 30 mL of formalin
	Slie Holders Plastic slide holder 5 slides


	125 mL Formalin jar - 250 mL jar with 125 mL of Formalin
	2023 price guide - Physical copy of our convenient test guide with a complete menu, pricing and specimen guidelines.
	20 mL Formalin Jar - 40 mL jars with 20 mL Formalin
	Biohazard bag - 6x9 biohazard bag
	Blue top - sodium citrate, 3 mL
	Bubble Mailer - Medium Bubble mailer 3-5 samples
	Culture swab - Swab and tube (gel or liquid media)
	Fecal tube - Clear with blue top fecal container
	Green top - Lithium Heparin, 3 mL
	Ice pack - 3 oz ice pack
	Lab Pak - UPS lab Pak
	Lavender top tube - 3 mL EDTA whole blood
	Micro Green top tube - Lithium Heparin microtainer tube
	Micro Lavender top tube - EDTA whole blood microtainer tube
	Non-Additive - 3mL white top non additive
	Paper Requisitions - Paper Requisition Forms
	PCR swab - Dry swab and tube (no gel/media)
	Pipette - 3mL clear transfer pipette
	Serum Separator tube - 3 mL yellow top, serum separator
	UPS Shipping Labels - Prepaid Labels
	Urine tube - clear\red top 6mL non additive

CLIENT COORDINATION SETUP