South Texas Dermatopathology Laboratory

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Order Supplies	Submit Insurance Info.

STDL provides shipping supplies free of charge.
Fill in the order form below and click submit.

Supply Order Form

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Office Information *
Practice Name
Requesting Physician
Phone Number
Shipping Address
City
State
Zip Code

Supplies		Quantity
All specimen bottles (10% neutral buffered formalin)
Small size (20 ml) one box (25 bottles)
Medium size (60 ml) one box (16 bottles)
Large size (120 ml) one box (12 bottles)
X Large size (200 ml) one box (7 bottles)
Jumbo Size (700ml) one bottle/box
Biohazard bags (25 bags/bundle)
Boxes with Sorbent Padding (10 boxes/bundle)
Biopsy Request Forms (25/bundle)
Patient Billing Information Forms (25 sheets/pad)
Fed Ex specimen shipping bags (10 bags/bundle)
Fed Ex pre-addressed billable stamps (10 lables/bundle)

Additional Notes