Download Collection Information - Portneuf Medical Center

SUPPLY ORDER FORMDr. Kristopher McGee, Dr. Roshan Patell, Dr. Charles Garrison777 Hospital WayPocatello, ID 83201Fax:(208) 239-3721 Phone: (208) 239-1690Please Send Supplies to Dr. _____________________________ Date Ordered:________________Formalin Containers (number needed): __________Pre-filled Formalin Containers.4 oz. ______________16 oz. ______________32 oz. ______________86 oz. ______________Biohazard Bags: __________________Pathology Requisitions:_______________ packages (5O in each)Cytopathology Requisitions: _____________ packages (5O in each)Formalin (5 gal):______________Formalin Stickers: ______________Other: (please specify) ___________________________The Surgical Pathology and Histology Laboratory is dedicated to the production of highlytechnical, quality sections and a wide range of expertly performed special stains. The laboratorywill accept formalin fixed tissue or paraffin blocks and pre-cut slides for special stainingtechniques.