Supply Order and RequisitionsSupply Order PDF Download Supply Order: Facility *Name *Phone *City *Date *Email Address *10% FORMALIN PRE-FILLED TISSUE BIOPSY CONTAINERS20 ml Formalin Bottles (White Top)Tray (24)Case (96)40 ml Formalin Bottles (White Top)Tray (24)Case (96)60 ml Formalin Bottles (Blue Top)Tray (24)Case (96)90 ml Formalin Bottles (White Top)Tray (24)Case (96)250/125 ml Formalin Bottle Cases (White Top) (12 per case)125 ml250 mlMichel’s Fixative (Refrigerate)Spray Fixative (1 oz Bottle)Slides (72 Slides per Box)Plastic Slide Holders – (Holds 5 Slides)Transport Bags (100 bags)95% Alcohol – Filled Slide Containers – (Holds 5 Slides)REQUSITION FORMSDermatopathologySurgical Histology (White)Surgical Histology (Blue—Dominican Hospital)Women’s Health (PAPS / Biopsy / Swab Testing)Prostate Histology / Urine CytologyPodiatryWOMEN'S HEALTHTray of 25 VialsBrush CollectionBrush and SpatulaBrush OnlyPAP Supplies *ThinPrep PAP SuppliesSurePath PAP SuppliesVaginosis Panel Cand/Gard/Trich - BD Affirm Swab Kit Box (10)Conventional PAP Slide Kit - Box (25)UROLOGY14-Vial Kit (1) - Prostate Biopsy90 ml Sterile Container Comments:Submit Supply Order FormPlease do not fill in this field. Requisition PDFS: Click to download APMG Dermatopathology Women’s Health Surgical Pathology Podiatry Urology
