Step 1 of 6 16% Your Details Compass Clinical Trial Liquid Based & Cervical Cytology & Chlamydia Testing & Histology Transportation & Mailing Supplies VCS Pathology Request Forms & Information Request Form Details Your Details VCS Practice Number* Practice Name* Phone* Your Name* First Last Your Email* Address* Address Suburb State Postcode Your Details Compass Clinical Trial Liquid Based & Cervical Cytology & Chlamydia Testing & Histology Transportation & Mailing Supplies VCS Pathology Request Forms & Information Request Form Details For the Consulting Room Combined Request/Consent Forms Main Trial Recruitment Guide ThinPrep (PreservCyt ® Solution) (25 Pack) Yellow Stickers (sheet) Patient Information (A4 50/Pad) For the Waiting Room Patient Information Brochure (DL) Poster A4 Version Poster A3 Version For the Clinic Compass Consumable Order Form Results Brochure Low Risk Cytology Negative (Green) Please enter a number less than or equal to 100. Max - 100 Results Brochure Low Risk HPV Negative (Green) Please enter a number less than or equal to 100. Max - 100 Results Brochure Unsatisfactory (Blue) Results Brochure Intermediate Risk (Orange) Results Brochure High Risk HPV (Red) Your Details Compass Clinical Trial Liquid Based & Cervical Cytology & Chlamydia Testing & Histology Transportation & Mailing Supplies VCS Pathology Request Forms & Information Request Form Details Liquid Based Cytology and/or HPV Testing ThinPrep (PreservCyt ® Solution) (6 Pack) ThinPrep (PreservCyt ® Solution) (25 Pack) Cervical Cytology Slide Containers Glass Slides (50 pack) Endocervical Brush (100 pack) Spatula - Plastic (50 per pack) Cervical Sampler - Broom Type (50 per pack) Cervix Brush Combi (50 per pack) Cytology Fixative Spray (100ml) Specula - Small (25 per pack) Specula - Medium (25 per pack) Specula - Large (10 per pack) Chlamydia Testing Flocked Swab (Chlamydia) (10 per pack) Chlamydia and Pap Test Pack Histology Histology Containers & Zip Lock Bags Your Details Compass Clinical Trial Liquid Based & Cervical Cytology & Chlamydia Testing & Histology Transportation & Mailing Supplies VCS Pathology Request Forms & Information Request Form Details Transportation & Mailing Supplies When ordering please consider the most economical use of the mailing supplies. Specimen Bio Hazard Bags (100 per pack) Use for all specimens Reply Paid Envelopes Use for posting single slides to VCS Pot Mailers Use for HPV, ThinPrep and Histology samples Reply Paid Satchel - Category Use for single or multiple samples Your Details Compass Clinical Trial Liquid Based & Cervical Cytology & Chlamydia Testing & Histology Transportation & Mailing Supplies VCS Pathology Request Forms & Information Request Form Details VCS Pathology Request Forms* * Pathology request forms are suitable for all tests. Request Forms (For Computer Printing) Request Forms (Manual with Pre-Printed) Pre-printed with Practitioner details. If details are different from the ‘Your Details’ entered, please enter at next stage. Information Resources Pap Tests And You What if a Pap test result is abnormal? Chlamydia - What is Chlamydia? Taking a Pap test DVD Mailing Pathology Specimens to VCS Chlamydia Poster (Design A) Chlamydia Poster (Design B) Chlamydia Poster (Design C) Your Details Compass Clinical Trial Liquid Based & Cervical Cytology & Chlamydia Testing & Histology Transportation & Mailing Supplies VCS Pathology Request Forms & Information Request Form Details Details for Pathology Request Forms Same as 'Your Details' (as entered previously) Different Details Only fill out if not the same as 'Your Details' VCS Practice Number Practice Name* Phone* Practitioner Name* First Last Address* Address Suburb State Postcode Comments Phone This field is for validation purposes and should be left unchanged.
