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Laboratory Supply Order Form

Please complete the fields below to order your free supplies. * indicates required field.
Blood Tubes	No. Required	Swabs	No. Required
EDTA (pink top) 1.3ml		Transport (charcoal) - black
Serum (clear top) 1.3 ml		Mini tip swabs
Serum Gel (brown top) 1.3 ml		CEM swabs - orange
Glucose (yellow top) 1.3ml		Chlamydia swabs
Citrate (green top) 1.3ml		Virology swabs (telephone request please)
Heparin for exotics 0.6ml

Safety Monovettes	No. Required	Other	No. Required
EDTA 2.7ml		Jiffy bags
Serum 2.7ml		VetCode labels
Serum 9ml		Slide containers
Needles 21g X 1.5"		Biohazard bags

Universal Containers	No. Required	Request Forms	Please Tick
Universal Plain (white-top) 30ml		Haematology / Biochemistry
With Spoon Faecal (blue) 30ml		Microbiology
With Boric Acid (red-top urine) 30ml		Histology
		Large Animal
Histology	No. Required	Rabies and Barcodes
Pots with Fixative 30 ml		TRH/ACTH Prescription
Large Pots with Fixative 60 ml		Supplies Form
		In-Clinic Advantage
		Cardiopet® / Radiopet®


VetCode:
Practice Name*:
Post Code*:
Contact Tel*:
E-Mail*:
Comments:

Please note: Supplies are issued FOC for use with our laboratory. Supplies for non-IDEXX laboratory customers are available, but will be charged in accordance with our Price List.

If you require supplies of slides or materials for your IDEXX In-Clinic products, please contact IDEXX Europe on 00 800 1234 33 99.