Order Supplies

Printable Order Form

If you prefer, you may print our traditional order form and fax your supply request to (402) 465-1940, or for faster service, complete the online form below. If you have any questions please contact our Customer Service at (402) 465-1900.

Download Order Form

For miscellaneous supplies not listed below, please fill in the appropriate information in the Comments/Special Orders field on the form.

Due to federal regulations we are able to provide only those supplies needed for collection/transportation of specimens referred to PMS for testing.

Client Info

Name(Required)
Address(Required)

Anatomic Lab Supplies

Requisitions/Forms
# Each
Product Name
 
Transport Containers - with Formalin
# Boxes
# Each
Product Name
 
Transport Containers
# Boxes
# Each
Product Name
 
Containers - Other
# Boxes
# Each
Product Name
 
Miscellaneous
# Boxes
# Each
Product Name
Specimen Transport Biohazard Ziplock Bags
# Each
Product Name
 
Pap Test Supplies
# Packs
Product Name
 
Molecular
# Boxes
Product Name
 
Tubes
# Packs
Product Name
 
Urine Collection
# Each
Product Name