Order Supplies & Forms


There will be no lab supply orders fulfilled just before and after major holidays. Please note the schedule for 2020 below.


Holiday Orders Must be Received By This Date Supply Fulfillment Resumes Date
Memorial Day 5/25/20 Thursday May 21, 2020 Tuesday May 27, 2020
4th of July  7/3/20 (observed) Tuesday June 30, 2020 Tuesday July 7, 2020
Labor Day  9/7/20 Wednesday Sept 2, 2020 Wednesday Sept 9, 2020
Thanksgiving 11/26/20 Monday Nov 23,2020 Monday Nov 30, 2020
Christmas  12/25/20 Monday Dec 21, 2020 Monday Jan 4, 2021





Supply quantities fulfilled are based on previous test volumes sent to DMCUL. Please allow 5-7 days for delivery.  The DMC Laboratories limits the frequency of supply orders to once every 2 weeks.

Instructions for a Supply Order Request:

  1. A supply form is mandatory. 
  2. If filling out a blank form, write in your practice name, address, and lab account number on the form in the Account Name section. 
  3. Enter the quantity requested in the Request column to the left of the product name, note some things are issued by "each" and some are by "box."
  4. Give the completed form to the courier, leave in your DMC drop box, or fax to 313-966-7422.
  5. If supplies are urgent contact your Sales Technical Service Representative for assistance.



Certain tests may require an additional separate form to be sent to allow the laboratory to have complete information for testing.  These forms may be printed here and submitted with the appropriate samples.

Prenatal Screening Patient History Form - Triplicate version form available by ordering via the Lab Supply Order Form.

Lead Testing Data Form

ABN (Advance Beneficiary Notice) Form - Triplicate version form available by ordering via the Lab Supply Order Form.

24 Hour Urine Collection Instructions for Patients

Patient Release Form for Lab Results - Patient must present a Photo ID at the DMCUL Client Services Department located at 4727 St. Antoine, Floor 2, Detroit, MI 48201 or at one of our Patient Service Centers (PSCs).  This form may also be used by a physician office to release patient lab results previously released to a different ordering provider.