We aim to make pathology ordering as easy as possible.
Once completed, please email to firstname.lastname@example.org, fax to 08 8363 9434 or return via courier.
Please be advised items will only be supplied in accordance with the Permitted Benefits - Pathology Services Determination 2008.
All supplies are to be used for the collection of pathology samples only.
Custom A5 request pads
Our standard A4 request form works with most practice management softwares however Clinpath can offer custom A5 request pads for our doctors.
Please contact email@example.com, to order prefilled Doctor request pads.
Please specifiy the following information when you place the order:
Surgery / Address*
Dr Code & Provider No and/or other location details:
- Nursing Home Details
Name and Contact of Person Placing Order*
Standard A4 request form
Skin Cancer Surgical Audit request form