For more information on the supplies we offer visit the Immunodermatology page, for Kit Supplies & Shipping. Clinic Name Contact Name Email Address Phone: Shipping Address Street Address City/Town State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Enter Quantity of Each Requested Item Complete Kits: Each Kit contains: 1 FedEx Shipping Bag, 1 FedEx Shipping Label, 1 Specimen Requisition Form, 1 Formalin Bottle (20 mL), and 1 Michel's Medium Specimen Vial, 1 Specimen Bag. Number of Dermatopathology kits requested Number of Immunodermatology kits requested Number of Oral Pathology kits requested Formalin 7 mL 20 mL 60 mL 120 mL How many units of the selected Formalin do you need? Michel's Medium 7 mL 20 mL How many units of the selected Michel's do you need? Specimen Bags - None -50100150200250300 FedEx Shipping Labels No Yes How many? FedEx Shipping Bags No Yes How many? Do you need this order rushed? Yes No Leave this field blank Requisition Forms Dermatopathology Oral Pathology Immunodermatology
