Provider Office Supplies

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.
 
****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.

Orders placed after 2:00 CST will be processed the following day.

Shipment TypeFEDEX GROUND
Practice Name
Attn to
Address, Suite
City, State, Zip
Phone Number
Stone Supplies (PO:7470/ILL017)
ItemItem No.Ordered Quantity
Test Request Form Pad
LLK0001-1
Kidney Stone Prevention Guide (packaged in 20s)
LLK0039
Your Guide to Hypercalciuria (packaged in 20s)
LLK0038
Your Guide to Increasing Fluid Intake (packaged in 20s)
LLK0040
Your Guide to a Low Oxalate Diet (packaged in 20s)
LLK0041
Your Guide to a Low Salt Diet (packaged in 20s)
LLK0037
Your Guide to Purines, Urine pH, and Citrate (packaged in 20s)
LLK0042
Kidney Stone Prevention Guide Spanish (packaged in 20s)
LLK0039S
Your Guide to Hypercalciuria Spanish (packaged in 20s)
LLK0038S
Your Guide to Increasing Fluid Intake Spanish (packaged in 20s)
LLK0040S
Your Guide to a Low Oxalate Diet Spanish (packaged in 20s)
LLK0041S
Your Guide to a Low Salt Diet Spanish(packaged in 20s)
LLK0037S
Your Guide to Purines, Urine pH, and Citrate Spanish (packaged in 20s)
LLK0042S
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