Specimen Transport Kit Request Forms

If your office would like to request specimen transport kits to send samples to the Center for Precision Diagnostics, please use the forms below.

 

If there is one provider in your office that will be sending specimens, please print this form:

CPD Kit Request Form

If there are multiple providers in your office that will be sending specimens, please print both forms below:

CPD Kit Request Form    CPD Multiple Provider Intake Form

 

All forms can be faxed to 313-916-7071 or emailed to hfcpd@hfhs.org. Please call with any questions or concerns at 313-916-4DNA (4362).