Request Dermatopathology Services and Supplies

Below is our online request form for supplies, slide review, and answers to questions. We also accept outside slides for consultation and can arrange specimen pickup.

For additional information, call 401-444-8511 or fax 401-563-7074.

Online Request Form

Requested By

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

Email Address

Supplies or Services Needed

10% Formalin Standard Specimen Jars (1 unit = 24 specimen jars)

units of 20ml Jars

units of 40ml Jars

units of 60ml Jars

units of 120ml Jars

Michel’s Transport Media for DIF (1 unit = 1 specimen jar)

units of Michel’s Transport Media for DIF

Paper Requisition Form (1 unit = 100 forms)

units of Paper Forms

Request a Courier Pickup

Request Pickup

Request a Review of a Case

Please enter slide number from lab form and specific question to address.

Other

Please enter any questions or comments.