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Quick Supply Order Form
Date of Request
Account Number or Office Name
Person Ordering
Confirmation Email
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Enter supply request or upload form below:
Supply Order File Upload
When do you need these by?
Terms of Online Order
I am a client sending samples to Patient's Choice Lab. I understand that quantity received will be determined based on volume of samples received by lab. All supplies are to be used for Patient's Choice, LLC or Lab Tech Diagnostics orders only. Contact our office directly for urgent requests, please allow up to two weeks for large orders.
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