Supplies Order Form

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Forms
Tissue/Non-Gyn Cytology Requisition
Pap Test Requisition (inc. HPV, CT/GC, Trich)
Thyroid FNA Cytology Requisition
Urological Cytology/Urovysion Requisition
Advance Beneficiary Notice (ABN)
Verbal Order/Reflex Test Authorization Form
Containers
15 ml (.5 oz) extra-small bottle w/formalin
30 ml small bottle w/formalin
120 ml (4 oz) specimen container w/formalin
CytoLyt/Non-gyn cytology container w/fixative
Pap Supplies
Liquid-based vials, ThinPrep™ Brand
Brush/spatula for ThinPrep™
Brooms for ThinPrep™
Pap-pak collection kits for Conventional Paps
Transport Kits
Aptima - CT/GC/Trich Unisex Swabs
Aptima - CT/GC/Trich Urine Collection Kit
Other Supplies
Individual specimen bags
Specimen log book
Pathologist service pad (Yellow) ENGLISH
Pathologist service pad (Yellow) SPANISH
Pap Results Online Cards

Should you have questions regarding ordering online, please contact us at 706-291-2430 or 800-225-8702.