{"id":1156,"date":"2019-03-19T05:33:55","date_gmt":"2019-03-19T05:33:55","guid":{"rendered":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/?page_id=1156"},"modified":"2023-08-23T16:23:34","modified_gmt":"2023-08-23T04:23:34","slug":"supply-online-order-form","status":"publish","type":"page","link":"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/specimen-collection-info\/supply-online-order-form\/","title":{"rendered":"Online Order Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework form-has-collapsible-sections_wrapper collapsible-sections-footer-after_last_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Supply Online Order Form<\/h3>\n                            <p class='gform_description'>Please fill in all relevant information in the boxes provided. If the form is filled out incorrectly, you may experience delays in receiving your ordered items. We would appreciate if practices can collate orders and only send through once per week where possible. Try and do this on a regular day for your clinic.<br\/>\r\nNotes:  <br\/>\r\n1. Formalin containers have changed (16 December 2024) &#8211;<a href=\"https:\/\/mailchi.mp\/4a67f68fa841\/awanui-labs-wellington-newsletter-16th-december-2024\">read more here.<\/a> <\/body><br\/>\r\n2. Urine container and collection device changed (mid January 2025) &#8211; <a href=\"https:\/\/mailchi.mp\/794685a14965\/awanui-labs-wellington-referrer-newsletter-6th-december-16529804\">read more here.<\/a> <\/body><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3' class='form-has-collapsible-sections  collapsible-sections-footer-after_last ' action='\/central\/wellington\/wp-json\/wp\/v2\/pages\/1156' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_85\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_85'><span class='gform-field-label__text'>URL<\/span><\/label><div class='ginput_container'><input name='input_85' id='input_3_85' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_85'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_3_75\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_75'><span class='gform-field-label__text'>Place Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_75'>The name of your facility<\/div><div class='ginput_container ginput_container_text'><input name='input_75' id='input_3_75' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_75\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_7'><span class='gform-field-label__text'>Delivery Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_7'>(Midwives please include the collection centre your order will be sent to for uplifting)<\/div><div class='ginput_container ginput_container_text'><input name='input_7' id='input_3_7' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_7\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_2'><span class='gform-field-label__text'>Contact Person<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_3_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'><span class='gform-field-label__text'>Email Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_3_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'><span class='gform-field-label__text'>Contact Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_3_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/li><li id=\"field_3_16\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Needles<\/h2><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_20'><span class='gform-field-label__text'>Vacutainer barrels (each)<\/span><\/label><div class='gfield_description' id='gfield_description_3_20'>Note: these are re-usable. Please follow your workplace policy for cleaning. <\/div><div class='ginput_container ginput_container_text'><input name='input_20' id='input_3_20' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_20\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_18'><span class='gform-field-label__text'>Vacutainer needle 21g-green (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_3_18' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'><span class='gform-field-label__text'>Vacutainer needle 22g-black (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_3_19' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Tubes<\/h2><\/li><li id=\"field_3_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'><span class='gform-field-label__text'>Citrate -2.7mL-pale blue top (coag) (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_3_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'><span class='gform-field-label__text'>EDTA-4mL-purple-top (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'><span class='gform-field-label__text'>Fluoride-2mL-grey top (glucose) (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'><span class='gform-field-label__text'>Microtainers (infant bilirubin) (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_3_13' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_14'><span class='gform-field-label__text'>Microtainers (infant EDTA) (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_3_14' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_8\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'><span class='gform-field-label__text'>Pink &#8211; 6.0mL Cross Match EDTA tube (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_3_8' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_9\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_9'><span class='gform-field-label__text'>SST-8.5mL-yellow top (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_3_9' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_21\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Swabs<\/h2><\/li><li id=\"field_3_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_23'><span class='gform-field-label__text'>Aptima PCR for Chlamydia and Gonorrhoea; Trichomonas (each)<\/span><\/label><div class='gfield_description' id='gfield_description_3_23'>View details <a href=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2024\/06\/Swab-Chart-June-2024.pdf\">here<\/a> <\/body> (4)<\/div><div class='ginput_container ginput_container_text'><input name='input_23' id='input_3_23' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_23\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_25'><span class='gform-field-label__text'>Plain Amies swabs (each)<\/span><\/label><div class='gfield_description' id='gfield_description_3_25'>View details <a href=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2024\/06\/Swab-Chart-June-2024.pdf\">here<\/a> <\/body> (1)<\/div><div class='ginput_container ginput_container_text'><input name='input_25' id='input_3_25' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_25\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_78\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_78'><span class='gform-field-label__text'>HPV self-collect swab only (Copan 552C) \u2013 Each<\/span><\/label><div class='gfield_description' id='gfield_description_3_78'>View details <a href=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2024\/06\/Swab-Chart-June-2024.pdf\">here<\/a> <\/body> (3)<\/div><div class='ginput_container ginput_container_text'><input name='input_78' id='input_3_78' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_78\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_24'><span class='gform-field-label__text'>Universal transport media (UTM) for COVID19, Herpes Simplex\/Herpes Zoster, Influenza, Bordetella pertussis and measles PCR (each)<\/span><\/label><div class='gfield_description' id='gfield_description_3_24'>View details <a href=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2024\/06\/Swab-Chart-June-2024.pdf\">here<\/a> <\/body> (6)<\/div><div class='ginput_container ginput_container_text'><input name='input_24' id='input_3_24' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_24\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Urines<\/h2><\/li><li id=\"field_3_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_31'><span class='gform-field-label__text'>Aptima PCR kit for Chlamydia and gonorrhoea (each)<\/span><\/label><div class='gfield_description' id='gfield_description_3_31'>NOTE: For extended expiry information on this product <a href=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2022\/03\/PDF-Website-Expiry-Memo-7th-March-2022.pdf\">click here<\/a> <\/body><\/div><div class='ginput_container ginput_container_text'><input name='input_31' id='input_3_31' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_31\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_32'><span class='gform-field-label__text'>Paediatric urine bags (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_3_32' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_28\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_28'><span class='gform-field-label__text'>Urine collection device (each) *NEW*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_3_28' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_83'><span class='gform-field-label__text'>Urine containers (10mL) (each) *NEW*<\/span><\/label><div class='gfield_description' id='gfield_description_3_83'>(For routine urine testing including MC&#038;S, protein, creatinine, microalbumin and drug screens)<\/div><div class='ginput_container ginput_container_text'><input name='input_83' id='input_3_83' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_83\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_79\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_79'><span class='gform-field-label__text'>Urine containers (70mL) (each)<\/span><\/label><div class='gfield_description' id='gfield_description_3_79'>(For urine cytology, semen samples, TB, Schistosoma, special biochemistry &#8211; amino acids, mucopolysaccharides, hippuric acid, pentachlorophenol, continine, tricholoracetic acid  trimethylamine.)<\/div><div class='ginput_container ginput_container_text'><input name='input_79' id='input_3_79' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_79\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_29\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_29'><span class='gform-field-label__text'>Urine containers 24 hour ACID (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_3_29' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_30\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_30'><span class='gform-field-label__text'>Urine containers 24 hour PLAIN (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_3_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_33\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Faeces<\/h2><\/li><li id=\"field_3_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_35'><span class='gform-field-label__text'>Faeces pots (culture) (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_3_35' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Cytology<\/h2><\/li><li id=\"field_3_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_55'><span class='gform-field-label__text'>Broom (packet of 25)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_3_55' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_56'><span class='gform-field-label__text'>Brush (packet of 10)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_3_56' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_57'><span class='gform-field-label__text'>Spatulas (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_3_57' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_54\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_54'><span class='gform-field-label__text'>SurePath LBC vial (tray of 25)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_3_54' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_77\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_77'><span class='gform-field-label__text'>HPV self-collect swab only (Copan 552C) \u2013 Each<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_3_77' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_74\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Histology Pots<\/h2><div class='gsection_description' id='gfield_description_3_74'>(Pre-filled with formalin)<\/div><\/li><li id=\"field_3_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_42'><span class='gform-field-label__text'>70 mL (prefilled)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_3_42' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_46'><span class='gform-field-label__text'>2L formalin &#8211; Theatre use only (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_3_46' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Histology Pots<\/h2><div class='gsection_description' id='gfield_description_3_40'>(Empty containers no formalin)<\/div><\/li><li id=\"field_3_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_43'><span class='gform-field-label__text'>250 mL (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_3_43' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_44\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_44'><span class='gform-field-label__text'>500 mL (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_3_44' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_45'><span class='gform-field-label__text'>1L (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_3_45' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_76\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_76'><span class='gform-field-label__text'>2L (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_3_76' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_47'><span class='gform-field-label__text'>4L (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_3_47' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_82\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>FNA pots (DIF Media) Michel solutions<\/strong> \n<p>\n<p>Please email your order for FNA pots directly to <\/p>\n<p><a  href=\"mailto:wlg.medical.secretaries@awanuilabs.co.nz\">wlg.medical.secretaries@awanuilabs.co.nz<\/a><\/p>\n\n<p>(include all information: name \/ delivery address \/ quantity required)<\/p><\/li><li id=\"field_3_48\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Punch Biopsy<\/h2><\/li><li id=\"field_3_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_50'><span class='gform-field-label__text'>2mm (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_3_50' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_51'><span class='gform-field-label__text'>3mm (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_3_51' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_52'><span class='gform-field-label__text'>4mm (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_3_52' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Misc<\/h2><\/li><li id=\"field_3_62\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_62'><span class='gform-field-label__text'>Mycology packs (each)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_3_62' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_61\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_61'><span class='gform-field-label__text'>Red urgent bags (bundle)<\/span><\/label><div class='gfield_description' id='gfield_description_3_61'>(Only to be used for urgent blood samples)<\/div><div class='ginput_container ginput_container_text'><input name='input_61' id='input_3_61' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_61\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_60'><span class='gform-field-label__text'>Specimen bags (bundle)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_3_60' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_63'><span class='gform-field-label__text'>Other (please specify)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_3_63' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_65\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible collapsible-sections-field collapsible-sections-description-title \"  data-field-class=\"collapsible-sections-field collapsible-sections-description-title\" ><h2 class=\"gsection_title\">Laboratory request pads<\/h2><\/li><li id=\"field_3_70\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Please email your order directly to<\/p>\n<p><a href=\"mailto:wlg.labpads@awanuilabs.co.nz\">wlg.labpads@awanuilabs.co.nz<\/a><\/p>\n\n<p>(include all information: Doctor \/ Specialist \/ Midwife, name \/ medical council \/ HPI number and location)<\/p><\/li><li id=\"field_3_69\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden collapsible-sections-end-field \"  data-field-class=\"collapsible-sections-end-field\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h2 class=\"gsection_title\">Section Break<\/h2><\/li><li id=\"field_3_84\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_84'><span class='gform-field-label__text'>CAPTCHA<\/span><\/label><div id='input_3_84' class='ginput_container ginput_recaptcha' data-sitekey='6LfXOsknAAAAAN98m-W_9FjnE594MkyJ-M-A1QDf'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='NZD' value='L8RsKbZrG828a88H3wVsNZXhHN5HDpVEEDA5v+S6dlQyasWBEmQX+FB4mNXPPBoW3\/sFwll6fU4iX6dLQkJpQfMJYhVOwwLHx31T+fXgz7N\/puc=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"138\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":549,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-left-sidebar.php","meta":{"footnotes":""},"class_list":["post-1156","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Online Order Form &#8211; Awanui Labs - Wellington<\/title>\n<meta name=\"description\" content=\"Fill in the form to order laboratory supplies.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/specimen-collection-info\/supply-online-order-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Online Order Form &#8211; Awanui Labs - Wellington\" \/>\n<meta property=\"og:description\" content=\"Fill in the form to order laboratory supplies.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.awanuilabs.co.nz\/central\/wellington\/for-referrers\/specimen-collection-info\/supply-online-order-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Awanui Labs - Wellington\" \/>\n<meta property=\"article:modified_time\" content=\"2023-08-23T04:23:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/fl-healthscope-media.s3.amazonaws.com\/lab-sites\/uploads\/sites\/3\/2023\/08\/Awanui-Labs-Lab-Technician-min.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"917\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" 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