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Toxicology Customer Supply Order Form

If you are ordering supplies for the recent adverse health effects following synthetic marijuana usage in Colorado, please follow the instructions sent via the

HAN Update MESSAGE ID: 09052013 16:20
FROM: CO-CDPHE

[Excerpt pasted below]

CDPHE is requesting that treating physicians collect the samples listed below from the affected patients at the earliest time possible after presentation to the ED or hospitalization.  

    • Whole       blood sample (1 tube) using a lavender top tube containing EDTA 
    • Urine       sample collected using normal methods. 

These samples should be refrigerated and submitted to the CDPHE Laboratory (see box below for transport information) where they will be forwarded to a reference laboratory for analysis using specialized methods for synthetic marijuana and designer drug compounds and their metabolites.

• Specimens must be properly labeled and accompanied with a completed CDPHE Toxicology requisition form (call 303-692-3074 to request forms):
     o Patient name
     o Date of birth
     o Gender
     o Submitting Agency ID (name of facility and contact)
     o Specimen type (if other please indicate type)
     o Specimen collection date
     o Chain of custody information
     o On the top of the form please write “OUTBREAK”
• Place labeled specimen(s) in a small biohazard specimen bag containing absorbent material & seal.
• Place the laboratory request form in the pocket sleeve of the biohazard bag.
• Place the specimen in an appropriate transport container with refrigerant packs.
• Indicate “refrigerated” on the outside of the transport container
• Send to the CDPHE Laboratory via CDPHE courier service Monday-Friday (call 303-692-3086 to set up courier pick up), or through your hospital lab courier system (if it routinely stops at the CDPHE Laboratory), or ship to:
                      CDPHE Laboratory Services Division
                      8100 E Lowry Blvd
                      Denver, CO 80230

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NOTICE to TOXICOLOGY CUSTOMERS
 
The CDPHE Toxicology Laboratory is suspending all testing
effective Monday, July 1, 2013
 
 

Toxicology testing supply kits may be ordered
from the CDPHE Laboratory Services Division using the form below,
however, at this time all testing at the CDPHE Toxicology Laboratory is still suspended.

(Do not send samples to the CDPHE Toxicology Lab for testing at this time.)

A list of certified toxicology testing laboratories is available at our website by clicking this link.

We apologize for any inconvenience and appreciate your support
as we continue to implement improvements in the CDPHE Toxicology Laboratory.

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** AGENCY INFORMATION **

** CONTACT INFORMATION **

** ORDER SECTION **


 QUANTITY
BLOOD KITS
URINE KITS
DRUG-FACILITATED SEXUAL ASSAULT (DFSA) KIT
LABELS
TOX TRAPS



Click the submit button below to complete your order.
If you do not click the submit button, or complete required fields,
your order will not be received or fulfilled.

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