Get Diatherix Order Form

Filling out the Diatherix Order Form online can help streamline your supply ordering process. This guide provides clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete your order form online.

1. Press the ‘Get Form’ button to access the Diatherix Order Form and open it in your preferred online editor.
2. Begin by entering your client number in the designated field. This helps identify your account for accurate order processing.
3. Next, fill in your client name and provide the complete address including city, state, and zip code to ensure proper delivery.
4. In the contact name section, write the name of the individual to reach concerning this order. Include their phone number and email for any necessary follow-up.
5. Add any comments or specific instructions in the comments section if needed. This can help clarify special requests.
6. For the specimen collection supplies, indicate the quantity for each kit you wish to order, such as the ESwab™ collection tube or genital health collection tube.
7. Move on to the shipping supplies section. Enter the quantity for items like specimen shipping boxes and FedEx® shipping labels.
8. In the other supplies section, specify the quantity for items like patient stool collection kits and nasopharyngeal swabs.
9. Review all information entered for accuracy. Check that quantities and contact details are correct.
10. Once everything is filled out correctly, you can save changes, download the form, print it, or share it by emailing it directly to supplies@diatherix.com using the click-to-email feature.

Complete your order form online today for a seamless supply ordering experience!