Supply Orders - Ethos Labs

Order Details - Choose a Package

ETHOS ADVANTAGE PACKAGES - Urine and Oral Fluid Testing

PACKAGES BY VOLUME - order urine cups or oral fluid collection devices under Additional Items

PACKAGE 25 - for up to 25 samples per month

ONLINE PORTAL Package 25 - includes 25 specimen bags, 25 shipping labels, 25 shipping bags

ONLINE PORTAL Package 25 (with Patient Attestation forms) - includes 25 Patient Attestation forms, 25 specimen bags, 25 shipping labels, 25 shipping bags

PAPER REQS Package 25 - includes 30 paper requisitions, 25 specimen bags, 25 shipping labels, 25 shipping bags

PACKAGE 50 - for up to 50 samples per month

ONLINE PORTAL Package 50 - includes 50 specimen bags, 25 shipping labels, 25 shipping bags

ONLINE PORTAL Package 50 (with Patient Attestation forms) - includes 50 Patient Attestation forms, 50 specimen bags, 25 shipping labels, 25 shipping bags

PAPER REQS Package 50 - includes 55 paper requisitions, 50 specimen bags, 25 shipping labels, 25 shipping bags

PACKAGE 100 - for up to 100 samples per month

ONLINE PORTAL Package 100 - includes 100 specimen bags, 25 shipping labels, 25 shipping bags

ONLINE PORTAL Package 100 (with Patient Attestation forms) - includes 100 Patient Attestation forms, 100 specimen bags, 25 shipping labels, 25 shipping bags

PAPER REQS Package 100 - includes 110 paper requisitions, 100 specimen bags, 25 shipping labels, 25 shipping bags

Custom Quantity Package

Order Custom Quantity Package?

Yes

Custom Quantity Package Order Details*

Specimen Bags

0

Shipping Labels

0

Shipping Bags

0

Patient Attestation Forms

0

Online Ordering Label Sheets (20 labels per sheet)

0

Paper Requisitions

0

ADDITIONAL ITEMS FOR ETHOS ADVANTAGE PACKAGES

Blank Specimen Cups (urine 90mL)

order in quantities of 25 (like 25, 50, 75, etc.)

0

Oral Fluid Collection Devices (swab w/tube)

order in quantities of 5 (like 5, 10, 15, etc.)

0

Urine Hats

order in quantities of 5 (like 5, 10, 15, etc.)

0

Large Shipping Boxes

order in quantities of 20 (like 20, 40, 60, etc.)

0

Absorbent Sheets

order in quantities of 5 (like 5, 10, 15, etc.)

0

Dymo 450 Printer Label Rolls (Generic Brand)

500 labels per roll - indicate number of rolls needed

0

Dymo 550 Printer Label Rolls (Dymo Brand)

500 labels per roll - indicate number of rolls needed

0

Online Ordering Label Sheets

20 labels per sheet - indicate number of sheets needed

0

EMR Forms

order in quantities of 50 (like 50, 100, 150, etc.)

0

Additional Notes

Optional: PPE Supplies for Ethos Collectors Only

Enter a valid email address to access PPE Supplies

Email

PPE Supplies (for Ethos Collectors Only)

Small Gloves

number of boxes

0

Medium Gloves

number of boxes

0

Large Gloves

number of boxes

0

X-Large Gloves

number of boxes

0

Disinfectant Wipes

number of packs

0

The cutoff time for same-day orders is 3:00PM EST.

All orders submitted after 3:00PM will be processed the next business day.

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Customer Information

Ethos Customers Supply Order Form

Order Details - Choose a Package

ETHOS ADVANTAGE PACKAGES - Urine and Oral Fluid Testing

PACKAGES BY VOLUME - order urine cups or oral fluid collection devices under Additional Items

PACKAGE 25 - for up to 25 samples per month

PACKAGE 50 - for up to 50 samples per month

PACKAGE 100 - for up to 100 samples per month

Custom Quantity Package

ADDITIONAL ITEMS FOR ETHOS ADVANTAGE PACKAGES

PPE Supplies (for Ethos Collectors Only)

ORDER SUBMITTED