Oral Pathology

Biopsy Specimen Paperwork

Oral Pathology

Biopsy Specimen Paperwork

Each biopsy kit includes a bottle of formalin, necessary paperwork, biohazard bag, box, and mailer.

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Name of surgeon or office(Required)

Address (Where to Ship Kits)(Required)

Street Address Address Line 2 City State ZIP Code

Number of kits(Required)

Special Instructions

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As a courtesy to your patient, we will bill medical insurance. We kindly ask that you provide us with a copy of their medical insurance card in order to facilitate this in a timely manner.

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