Order Consumables
Clinic / Surgery name *
Surgery Code
Contact Name *
Address *
State *
Phone *
Email *
BLOOD COLLECTION (EVACUATED)
+
-
Code
Unit
Qty
IGRA Kit – NSW/ACT/QLD/TAS
695227
1
Each
IGRA Kit – VIC/SA
685152
1
Each
IGRA Kit – WA/NT
695243
1
Each
SST Gel 8.5mL (Gold Top)
646309
1
Each
IGRA Kit – NSW/ACT/VIC/QLD/SA/TAS
695227
1
Each
SST Gel 3.5mL (Gold Top)
671775
1
Each
SST Gel Micro (Gold Top)
674942
1
Each
EDTA 4mL (Lilac Top)
601235
1
Each
EDTA Micro (Lilac Top)
687386
1
Each
Pink EDTA 6mL
648931
1
Each
PPT (VIC/SA Only)
686421
100
Each
Needle Holders (Barrels) (Single Use)
678651
1
Each
Alcohol Prep Swabs
672023
100
Box
Cotton Wool Balls
699528
1
Bag
Micropore Tape (25mm)
699527
1
Roll
Spot Bandaids
699523
100
Box
Needles 21G
601227
100
Box
21G Butterflies Safety-Lock
602018
1
Each
23G Butterflies Safety-Lock
602019
1
Each
Syringe 5ml ls box100 ctn400
107135
1
Each
Syringe 10ml ls box100 ctn400
107136
1
Each
Needle 22g 38mm cnv mltsmp box100
601225
1
Each
Tube fl ox gray 2.0ml try100
601232
1
Each
TOURNIQUET MULTICOLOURED LATEX FREE
701381
1
Each
Bag specimen clear 20pks car2000
686977
1
Each
Bag specimen red 20pks car2000
686978
1
Each
Tube blood transfer device box/198
697572
1
Each
Tape ds non-woven wecare 12.5mmx9.1m 24
699526
1
Each
Seal security pull up wht ser no. Bx1000
701195
1
Each
Tape ds non-woven wecare 12.5mmx9.1m 24
699226
1
Each
Needle Vacutainer 21g X 25mm
601226
100
Box
Needle Vacutainer Black 22g X 25mm
601224
100
Box
GLOVES
+
-
Code
Unit
Qty
Gloves (XS) (If you require cartons order in lots of 10)
701264
1
Box
Gloves (S) (If you require cartons order in lots of 10)
701265
1
Box
Gloves (M) (If you require cartons order in lots of 10)
701266
1
Box
Gloves (L) (If you require cartons order in lots of 10)
701267
1
Box
Gloves (XL) (If you require cartons order in lots of 10)
701268
1
Box
TRANSPORT
+
-
Code
Unit
Qty
Tamper-proof Biohazard Bags
692782
1
Bag
Seal security pull up wht ser no. BX1000
701195
.1
Each
REFERRAL LOCATION
+
-
Code
Unit
Qty
Bupa Brisbane (order in lots of 100 – 100 = 1pkt, 1000 = 10pkts[1 carton])
693658
1
Each
Bupa Southport (order in lots of 100 – 100 = 1pkt, 1000 = 10pkts[1 carton])
701533
1
Each
Bupa Adelaide
700219
1
Each
Bupa Sydney
693132
1
Each
Bupa Parramatta
693131
1
Each
Bupa Canberra
700768
1
Each
Bupa Melbourne
693658
1
Each
Bupa Dandenong
700696
1
Each
Bupa Perth
701427
1
Each
Partner Referral Form (QLD, WA, NT, SA, VIC, TAS)
701371
1
Each
Partner Referral Form (NSW)
700769
1
Each
Your Order
code
unit
qty
Additional Items/Comments
Non-stock items – if approved, please allow 2 weeks for delivery
Supply of consumables to requestors of pathology is limited by the Health Insurance Act 1973 to the items specified on this order form
