Provider Office Supply Order Form

(Providers or Medical staff only)

See the order form below for Litholink’s most commonly requested office supplies. Please fill out the form in its entirety to ensure the receipt of your order. Allow 5-7 business days for orders to be received.

Please note that the quantity requested is not guaranteed. Diet brochure quantities are based on a practice’s quarterly usage of the 24-hour urine testing services.

For special requests or other Litholink supplies, please use the general “contact and support” tab and use the supply option providing a description of your request or request a call from a customer service representative.

Orders placed after 2:00 CST will be processed the following day. Shipment will be made via FedEx Ground

Patients

If you are a patient trying to order an At-Home Kit for your 24-hour urine collection please look under the patient menu and click At-Home Kit registration.

Practice Information

Stone Supplies (PO:7470/ILL017)

Item
Item No.
Ordered Quantity
LLK0001-1
LLK0039
LLK0038
LLK0040
LLK0041
LLK0037
LLK0042
LLK0039S
LLK0038S
LLK0040S
LLK0041S
LLK0037S
LLK0042S