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OHC Supply Order Sheet

OHC office personnel: Please complete the following form to request supplies. For any questions, please contact Customer Service at 513-636-3640.   Orders will be processed on Mondays and Thursdays.

Thank you.

Contact Information

 

* fields are required
* Office Name:   
* Office Address 1:   
Office Address 2:     
* Office City:    
* Office State:   
* Office Zip:   
* Email Address
* Contact Name
* Contact Phone Number (xxx-xxx-xxxx)
   

Orders

 

Item How Supplied Quantity Ordered
Culture    
Blood culture collection kit Each  
Fungal blood culture Isolator tubes Each  
Stool Para-Pak for C/S (orange cap) Each   
Stool Para-Pak for O/P (pink & blue caps) Each  
Red top culture collection swab Each  
Green top culture collection swab Each  
Sterile Urine Cups Case (10)  
Viral media for Chlamydia DNA culture (specify male or female) Each  
GYN    
Thin Prep vials with brushes 30/Tray  
Prefilled Formalin Bottles Each  
Urine    
Urine vacutainer kits Each  
24/hr urine jugs w/white drawstring bags Each  
Urine hats Each  
Phlebotomy    
Chlora Prep with tint 25/Pkg  
Tourniquets - latex free 25/Pkg  
Vacutainer adaptors - clear 250/Pkg  
Luer adapters for multiple samples 100/Pkg  
Vacutainer bld collect butterfly 21G 50/Pkg  
Vacutainer bld collect butterfly 23G 50/Pkg  
Eclipse bld collect needles 21G 48/Pkg  
Eclipse bld collect needles 22G 48/Pkg  
Transfer pippettes 500/Pkg  
Plastic pour off tubes 100/Pkg  
Slides 100/Pkg  
Plastic 5 slide holder 100/Pkg  
Vacutainer Tubes    
Gold top vacutainer tubes 100/Tray  
Lavendar top vacutainer tubes 100/Tray  
Pink (EDTA) top vacutainer tubes each  
Light Blue (Na. Cit.) top vacutainer tubes 100/Tray  
Green (Na. Hep.) top vacutainer tubes 100/Tray  
Green (Lithium Hep) top vacutainer tubes 100/Tray  
Red (no gel) top vacutainer tubes 100/Tray  
Yellow (ACD) top vacutainer tubes (Sol A) Each  
Yellow (ACD) top vacutainer tubes (Sol B) Each  
Royal Blue (EDTA) top vacutainer tubes Each  
Royal Blue (no add) top vacutainer tubes Each  
Tan top vacutainer tubes (lead levels) Each  
Specimen Bags    
Specimen bags - Routine 1000/Box  
Specimen bags - Stat 50/Pkg  
Specimen bags - Frozen 50/Pkg  
Specimen bags - Amber 25/Pkg  
Labels    
Labels - Stat 1000/Box  
Labels - Frozen 1000/Box  
Labels - Refrigerate 1000/Box  
Labels - Room Temp 1000/Box  
Labels - CSF Specimen Each  
Labels - Lap Stain Each  
Requisitions    
OHC - Bone Marrow 100/Pkg  
OHC - Cytopathology 100/Pkg  
Miscellaneous    
CSF tubes 4/Pkg  
Bone Marrow Kits Each  
White drawstring bags Each  
Test Add-on Request Form 20 copies   
Other    
     


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