Supplies Requisition Form

Please fill out the following fields to obtain sample collection supplies and/or shipping supplies. Orders will be verified with accounts management department before shipment is released. All orders will be shipped FedEx 2nd day air unless otherwise specified and agreed upon via the LVT Shipping Department. This form is for active accounts only. Please contact the lab directly if you would like to register for our toxicology services. 


Name *
Street / Suite # / City / State / Zip
Phone *
Urine Toxicology Requisition Forms
Forms are pre-populated based on your account preferences.
Urine Collection Kits
Rapid Test Kits
Invoices will be sent at the end of the month. A signed Supplies Agreement Form is required before orders are fullfilled.
Oral Fluid Collection Kits
Oral Kits are only provided to clients registered for oral testing.
DNA Collection Kits
DNA Kits are only provided to clients registered for DNA testing. Overnight shipping is not available on this item. Kits require an extra business day to assemble.
Federal Express Shipping Supplies
UPS Shipping Supplies
Computer Supplies
If an LVT collection computer and printer has been issued to you, the following items are available in limited supply.